• English
  • Español

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

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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

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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

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* 9. How would you identify your gender?

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* 10. What is your preferred language?

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* 11. In what languages are you fluent?

The business at 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. Please select the description that best represents your racial and ethnic heritage.

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