2024 House of Deputies Legislative Committee Preference Survey

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* 1. Are you a Deputy or an Alternate Deputy?

Deputy

Alternate Deputy

Other

Other (please specify)

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. Address

Address 1

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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* 5. Preferred email

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* 6. Confirm preferred email

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* 7. Telephone (cell phone preferred)

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* 8. Date of Birth

Month

Date

Year

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* 9. How would you identify your gender?

Woman

Man

Transgender woman

Transgender man

Genderqueer or Gender fluid

Prefer not to say

Prefer to self describe

If you would like the opportunity, we invite you to describe your gender below.

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* 10. What is your preferred language?

English

Spanish

French

Other (please list below)

If your preferred language is not listed, please share it here.

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* 11. In what languages are you fluent?

The business of The General Convention will be conducted in English with Spanish interpretation. If you require additional interpretation/translation services, please contact the General Convention Office at GCOffice@episcopalchurch.org.

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* 12. Will you need interpretation in order to participate in a legislative committee?

Yes

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* 13. Please select the description that best represents your racial and ethnic heritage.

Indigenous, Native American, or Alaskan Native

Hawaiian or Pacific Islander

Middle Eastern or Arab American

Black, African American, Afro Caribbean, African Immigrant, or African Decent

Asian or Asian American

Latino/a/x

White

Multiracial or Biracial

Not listed (please specify)

If you would like the opportunity, we invite you to describe your race/ethnicity below