Leader Information Form

This is the form to provide current leader details and contact information so synod records can be updated.

Leader's Last Name*

Leader's First Name*

Title

Select or enter value

Primary Email Address*

Primary Phone Number

Date of Birth

Marital Status

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Divorce Date

Spouse's Name

Marriage Date

Ordination, Commissioning, or Consecration Date

Current Home Address

Current Home City

Current Home Zip Code

Current Congregation/Organization

Current Congregation/Organization Address

Current Congregation/Organization City

Current Congregation/Organization Zip Code

Current Congregation/Organization Phone Number

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