JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nomination Form
Please complete this form in its entirety, and email a head & shoulders photo to mwhyte@nesynod.org to complete the nominations process. Thank you for your willingness to serve.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Position sought
*
Choose
Synod Council - Lay young adult (18-30)
Synod Council - Lay youth (14-17) (2 year term)
Synod Council - Lay male - CT/MA/RI
Synod Council - Lay female - CT/MA/RI
Synod Council - Lay male at large
Synod Council - Lay person at large
Synod Council - Lay person of color/first language other than English
Synod Council - Ordained - ME/NH/VT
Synod Council - Ordained at large
Synod Discipline Committee - ordained
Synod Discipline Committee - lay member
Churchwide Assembly 2025 - Ordained
Churchwide Assembly 2025 - Lay member adult
Churchwide Assembly 2025 - Lay member youth/young adult (14-30)
Churchwide Assembly 2025 - Person of color/first language other than English
First Name
*
Your answer
Middle Initial
*
Your answer
Last Name
*
Your answer
Are you ordained?
*
Yes
No
Are you a person of color?
*
Yes
No
Primary language if other than English
Your answer
If you are a minor, please provide your birth date, your parent's name and their email address.
Your answer
Email
*
Your answer
Street Number and Name
*
Your answer
City/town of residence
*
Your answer
State of residence
*
Your answer
Zip code of residence
*
Your answer
Cell phone number with area code
*
Your answer
Home phone number with area code
*
Your answer
Office phone number with area code
Your answer
Pastor's First and Last Name
*
Your answer
Home congregation
*
Your answer
City and State of Home congregation
*
Your answer
Occupation
*
Your answer
Please describe your congregational involvement
*
Your answer
Please describe professional skills and abilities
*
Your answer
Why do you wish to serve the church in this capacity? (please limit to 100 words)
*
Your answer
Additional comments for the nominating committee
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
