General and Jurisdictional Delegate Elected Form
This form is to collect the information of the elected delegates that will represent your annual conference at General and Jurisdictional Conference.
Annual Conference Name
Your answer
Name of Delegate
Your answer
Delegate E-Mail
Your answer
Please select:
Please mark if they are
Order of election (First, Second, etc.)
Self-identify Race or Ethnicity
Your answer
Person with a disability
Conference Staff
If Laity: Church Name
Your answer
Clergy is serving in an extension ministry setting?
If Clergy: Church or Extension Ministry Name
Your answer
Your answer
First time elected as a delegate?
If not first time, select what years?
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