The General Assembly of the Presbyterian Church (U.S.A.) meets every other year and consists of commissioners elected by each of its 172 presbyteries. It includes daily worship, business, committee meetings, an exhibition hall, fellowship, and mission tours.
The 223rd General Assembly will meet in St. Louis, Missouri in June 2018.
| 223rd General Assembly Commissioners
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| Name | Status | Church/Ministry |
| David Lee | Teaching Elder | Highlands United |
| Paige Porter-Buhl | Teaching Elder | Covenant |
| Mary Brown | Ruling Elder | Woodlawn |
| Ed Kelly | Ruling Elder | First Green Cove Springs |
| Larry Green (Alternate) | Teaching Elder | Westminister |
| Kristie Hall (Alternate) | Ruling Elder | Kirkwood |
| Amy Hunt (Alternate) | Teaching Elder | Chaplain/Air Force |
| Bea Newhart (Alternate) | Ruling Elder | Reddick |
| 223rd General Assembly Young Adult Advisory Delegate | |
| Name | Church |
| Emma Cottrell | Community |
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223rd General Assembly Theological Student Advisory Delegate (TSAD) |
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| Name | Church |
| Forrest Foxworth | First Fernandina Beach |