APPLICATION FOR NOMINATION
                                     76TH GENERAL CONVENTION
                                              2009


The Committee welcomes nominees broadly representative of the constituency of this church, 
and has a mandate to increase diversity.  The Committee encourages early submissions.

Applications must be received on or before February 1st, 2008.

Application For: 
        ___Court for the Trial of a Bishop
	___Executive Council	 ___General Board of Examining Chaplains
	___Trustee, Church Pension Fund ___Trustee, General Theological Seminary

(PLEASE PRINT)

Name:__________________________________________________________________

     	( ) Lay	 	( ) Deacon	( ) Priest	( ) Bishop

Mailing Address:__________________________________________________________



_____________/__________________/_______________ /_______________________
  (work phone) (home phone)          (fax)             (email)

Parish______________________ Diocese____________________Province__________

Current employment:______________________________________________________

List up to five experiences you have had in the church or the world that have helped prepare you for 
serving in this position.












On an attached page, in 150 words or less, describe in the first person in narrative forum your 
competencies and skills that are relevant to serving in this position, and indicate how you hope 
to use these gifts if elected to this body.   Do not send CDO 
profiles or resumes. 

How did you find out about our call for nominations? 



Supply a lay reference:

Name:_____________________________Phone:___________________________

Address:____________________________________________________________

Supply a clergy reference:

Name:_____________________________Phone:___________________________

Address:____________________________________________________________

Proposed Nominee's Certification:

I have read the description of the office 
(see http://andromeda.rutgers.edu/~lcrew/nomcomGC2009/nomcomdescription.html)
and if elected, I commit myself to the time and attendance requirements and will 
fulfill all the other duties and obligations of this position.  I am a communicant 
in good standing.  As required by the 73rd General Convention, I have completed 
anti-racism training or commit to complete such training within one year of my election.  
I understand that the listed references and others may be contacted for knowledge about 
my qualifications and that a background check may be conducted.


Signature____________________________________Date:__________________

Please send completed form and photo electronically to gcoffice@episcopalchurch.org

				The Rev. Edward Godden
				Chair, Joint Nominating Committee
				General Convention Office
				815 Second Avenue, 6h Floor
				New York, NY 10017

Applications must be received by February 1st, 2008.  
We expect to choose our nominees by June 30, 2008.

Application is not complete until we have a photo.  Send the photo electronically or in 
hard copy.  The photo should be a head shot.