Application for Admission to the Synodical Diaconate

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Metropolitan New York Synod
Evangelical Lutheran Church in America
The Lutheran Center - 475 Riverside Drive, 16th floor
New York City, NY 10115

Phone (212) 665 - 0732
www.metronysynod.com

Application for Admission to the Synodical Diaconate - page2

Applicant's Name__________________________________________

Synodical or Churchwide offices held, with approximate time frames:

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Function
From
Until

Family Information

Marital Status___________________________________________________________________

Spouse’s Full Name______________________________________________________________

Spouse’s Occupation_____________________________________________________________

Children’s Names and Ages

References

List names, addresses, phone numbers, titles of three persons who can be used as written and verbal references. Do not include your pastor. Include your employer, if possible, and someone well acquainted with your family.

1.

2.

3.

4.

	Application for Admission to the Synodical Diaconate - page2
	Applicant's Name__________________________________________

	Family Information

	Marital Status___________________________________________________________________

	Spouse’s Full Name______________________________________________________________

	Spouse’s Occupation_____________________________________________________________

	Children’s Names and Ages




	References
	List names, addresses, phone numbers, titles of three persons who can be used as written and verbal references. Do not include your pastor. Include your employer, if possible, and someone well acquainted with your family.

	1.

	2.

	3.

	4.