Name of nominee/volunteer ___________________________________________
(Form should not be submitted unless nominee has agreed to
serve if selected.)
Title of address (circle one): Mr. Ms. Mrs.
The Rev. The Rt. Rev.
(if submitting by e-mail, delete all but the correct
title)
Regional Meeting (circle one)
volunteer's address_____________________________________
city, state & zip_______________________________
telephone ( ) - ____________________________
email__________________@_______________________
(If you know a member of the Seattle 22, that would be helpful.)_________________________
Your reference who can testify that you have a heart for reconciliation:
reference's name_______________________________________
address_____________________________________
city, state & zip_______________________________
telephone ( ) - ____________________________
email__________________@_______________________
Episcopal Church elective offices (positions outside the parish) that you
have held within the last seven years (give dates).
_______________________________________________________
______________________________________________________________________
______________________________________________________________________
Are you (circle one) __liberal___moderate___conservative__ re the ordination of homosexuals in relationships and the blessing of same-sex unions?
Comments:_____________________________________________________________
______________________________________________________________________
______________________________________________________________________
Please forward form to:
New Commandment Task Force
tmollegen@alliedr.com
c/o A. T. Mollegen, Jr.
49 Millstone Road
Glastonbury, CT 06033
FAX 860-652-9356
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