Lay Delegation Interest Form

*First Name
*Last Name
*Email
*Main Contact Phone Number
*Local Church
*District
Coastal
North Central
Northeast
Northwest
South Central
Southwest
Gender
Ethnicity
Occupation
*I am
Youth (under 18)
Young Adult (18-35)
Adult (over 35)
*Positions Served in the Local Church, District and/or Conference
*Statement

This statement (300 words or less) could include qualifications, convictions, thoughts on issues, concerns, etc.

Photo

Upload a photo by clicking on the "attach file" button below.

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.