This form is to nominate a person to serve as a local facilitator for the diocesan phase of the Synod on Synodality in the Archdiocese of Philadelphia.  Please provide the contact information for the nominatee and your name and role below.

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* 1. Please provide contact information for the person you are nominating to be a local synod facilitator

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* 2. Please provide your name

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* 3. Which best represents your primary role in the Church?

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