The Presbyterian Church (U.S.A.) is a connectional church, functioning on several levels, the first level being the local church. Local churches are grouped geographically into Presbyteries, and Presbyteries are grouped to form Synods. Christ Church Presbyterian (USA) is a part of the Presbytery of East Iowa, which is in the Synod of Lakes and Prairies. The highest level of the church is called the General Assembly, which meets every year with representatives coming from all levels of the church, across the entire country and internationally, to consider the issues, the business, and the mission of the church.