2023 Deputy Interest Form

In advance of the 81st General Convention, some deputies are organizing themselves into caucuses. These caucuses are independent, voluntary organizations. Three of these groups have reached out to the office of the president of the House of Deputies to be included in this survey: the Deputies of Color (Asian/Pacific Islander Caucus, Indigenous Caucus, Latino Caucus, Black Caucus), the LGBTQ+ Caucus, the Under 40 Caucus, and the Creation Care Caucus.

If you identify with one or more of these groups and would like your contact information to be shared with the deputies who are organizing these caucuses, please fill out this form. If you have questions, please email contact@houseofdeputies.org.

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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. 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)

Other (please specify)

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* 3. What is your first name?

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* 4. What is your last name?

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* 5. Please select your diocese

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* 6. Preferred email

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* 7. Confirm preferred email

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* 8. Telephone (cell phone preferred)

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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 are your pronouns?

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* 11. 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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* 12. Please select all the caucuses you identify with

Asian/Pacific Islander Caucus

Indigenous Caucus

Latino Caucus

Black Caucus

LGBTQ+ Caucus

Under 40 Caucus

Creation Care Caucus

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* 13. Do you give the House of Deputies office permission to share your contact information with the organizers of the independent caucus(es) with which you identify?

Yes