Communications Update Form
Please fill the form to completion with new or updated contact information. The Virginia Synod will never share your personal contact information with any outside agencies or third-party companies. If you have any questions, please contact Lenae Osmondson at 757-622-9421 or
osmondson@vasynod.org
* Required
First Name
*
Your answer
Middle Name
*
If you do not have a middle name, please write N/A
Your answer
Last Name
*
Your answer
Ministry Status
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Minister of Word and Sacrament
Minister of Word and Service
Stated Supply
Intern
Home Address
*
Your answer
City
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Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Personal E-mail address
Your answer
Birthday
*
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Date of Ordination/Consecration
*
MM
/
DD
/
YYYY
Rostered Membership
*
If you currently are not rostered in the Virginia Synod, please indicate the name of the synod in which you are officially rostered by selecting "Other"
Virginia Synod
Other:
Current Status
*
Serving
On Leave from Call
Special Call
Medical Leave
Retired
Retired and Serving
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