2014 Metropolitan Washington, D.C. Synod Assembly

CANDIDATE INFORMATION FORM

Candidate for the position of: 				________				

*Candidate’s name: ____				                           ________________________
					(Title, First Name, Middle Initial, Last Name)

Home Phone: ____________________________	Work Phone: __________________________

Cell Phone: ______________________________	Email: _________________________________

Congregational Membership: _______________________________________________________
Name

_____________________________________________________________________________________
City, ST

Occupational History: 

	

	

Participation at Synod or Churchwide level: 

	

Participation at Congregational level: 

	

Community Involvement: 

	

	
	Demographic Information (Please check all that apply):
	 Male   	 Female
	 Rostered	 Lay
	 African-American/Black		 Asian/Pacific Islander
	 Arab/Middle Eastern	White/Caucasian		 Latino
	 American Indian/Alaska Native		
	 Person with a primary language other than English

	Digital photo attached*?  (   ) Yes    (  ) No

Send to the Rev. Albert Triolo, Nominations Committee Chair, at atriolo@stmarks-elca.org.
Form is due by April 30, 2014.

*Candidates are strongly encouraged to send a photo digitally with this form. Photos will be used to introduce the candidates to Voting Members of the 2014 Synod Assembly.

If elected, your first Synod Council meeting will take place in July 2014.  
THANK YOU.