2019 Metropolitan Washington, D.C. Synod Assembly - Candidate Information Form
Please complete the full form below by May 1, 2019. Each candidate should send a digital photo to the Nominations Chair, Rev. Travis Kern at pastorkern1@gmail.com and Katharyn Wheeler at kwheeler@metrodcelca.org. If you would like to be considered for multiple positions please complete a separate form for each position.

There is a separate form for all candidates for Bishop that can be found at:

Email address *
Candidate for the position of: (dropdown menu) *
Candidate's Name (First Name, Middle Initial, Last Name): *
Your answer
Candidate's Title: *
Home Phone:
Your answer
Work Phone:
Your answer
Cell Phone:
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Congregational Membership (Name, City, State) *
Your answer
Occupational History:
Your answer
Participation at Synod or Churchwide Level:
Your answer
Participation at Congregational Level:
Your answer
Community Involvement:
Your answer
Demographic Information
Gender *
Roster *
Youth/Young Adult Status *
Are you a voting member in your congregation? *
Voting member status requires compliance with the three “C”s, confirmed, communed, and contribution of record within the current or preceding year. All elected positions must be voting members in their congregations.
Who nominated you?
Your answer
Thank you for your interest in serving in the Metropolitan Washington, D.C. Synod. Please remember to send your digital photo to pastorkern1@gmail.com and kwheeler@metrodcelca.org. If you would like to be considered for multiple positions please complete a separate form for each position.
A copy of your responses will be emailed to the address you provided.
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