Elder *

Minister of Word & Sacrament

Ruling

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Ordained *

Have you been ordained as a Ruling Elder or Deacon in the PC(USA)? Note: this is not a requirement for selection.

Yes

No

Preparation and Study *

Are you willing and able to complete the extensive advance preparation for the Assembly? Possibly as much as 80 hours of reading and study.

Yes

No

8 day committment *

Are you able to attend the entire 8 days of the General Assembly session?

Yes

No

Reporting to Assembly *

As you are available, are you willing to report on the General Assembly at an appropriate meeting of the Presbytery or speak upon request to forums/congregations/sessions/youth groups?

Yes

No

Electronic Devices *

Nearly all reports, agendas, dockets and other documents will primarily be available electronically. Do you have the skills and electronic devices to access these materials?

Yes

No