Province IV Nomination Form
Deadline for nominations is April 13, 2018 — Upload photo (jpg) below.
Office for which you're seeking election *
Required
Name *
Order *
Required
Diocese *
Home address *
Phone *
Email *
Parish activities
Diocesan activities
Larger church activities
Personal
Nominated by *
Nominator's diocese *
Photo *
Please upload a recent photo in a jpg format.
Required
Submit
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