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Jurisdictional FlashNet - Reconciling Community Leads

1.Church Name:

2.Church Address:

Address:

City/Town:

State:

3.Please Select an Annual Conference:

4.Why do you think this Congregation/Community/Campus Ministry might be interested in learning more about becoming reconciling?

For example...
Do you know if there are any openly LGBT people in this community?
Has this community ever participated in any LGBT supporting events?
Are there a number of actively supportive straight allies in the community?
Is the pastor reconciling?

5.Please provide the name of a lay leader in the church who would be the best person for us to contact. Please include as much information as you have.

Name:

Role:

Email Address:

Phone Number:

6.If there is a second lay leader we should connect with, please add their information here.

Name:

Role:

Email Address:

Phone Number:

7.Please leave us your contact information: (Required.)

Name:

Email Address:

Phone Number:

8.Are you currently a Reconciling United Methodist?

Yes

No

I'm Not Sure