Annual Report for Deacons
Name
First Name
Last Name
Primary Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Alternate Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Alternate Address Phone
Please enter a valid phone number.
Email Address (A copy of your submission will be emailed to this address)
example@example.com
Diaconal Status
Please indicate your diaconal status
Active
Senior
Do you reside in the Archdiocese of Hartford?
Yes
No
Do you still regularly serve in a parish?
Yes
No
Please indicate your current parish assignment
Do you have faculties in a diocese other than Hartford?
Yes
No
If "yes," which diocese(s)?
Out-of-Diocese Deacons Only
Do you return to the Archdiocese during the year?
Yes
No
Please check off the months, including parts of months (even if for just a day or two) in which you are typically in the Archdiocese.
January
February
March
April
May
June
July
August
September
October
November
December
No Fixed schedule
If you minister at a parish when in the Archdiocese, please list the parish(es)
Would you like to change incardination?
Yes
No
Spiritual Requirements
Please list below retreats and days of recollection specifically given for deacons only that you have attended in the last year
Spiritual Director type
Please Select
Priest
Deacon
Religious
Lay
Spiritual Director name
First Name
Last Name
Annual frequency of meetings
Administrative Requirements
Are your funeral arrangements complete, up-to-date and filed with the Diaconate Office?
Yes
No
Have you completed twelve hours of continuing education in the last year?
Yes
No
Please create or update the list of courses you've taken (Other than Diaconate Office sponsored workshops)
Please list course names, locations and dates
Liturgy and sacraments
Number of times you preach in a year
Number of Baptisms
Number of Marriages
Ministries
Please check the box to the right of each specific ministry in which you are currently active
Baptismal Preparation
Marriage Preparation
Social Justice
Prisons
Adult Education
RCIA
Youth Programs
Other ministries not listed
Do you regularly take time off from your parish duties?
Yes
No
Do you attend parish staff meetings?
Yes
No
Are you a member of the Parish/Pastoral Council?
Yes
No
Do you receive/accept your monthly parish stipend?
Yes
No
Please describe your ministry in general terms
Employment and Education
Current or former occupation
Please describe
Secular
Clerical
Are you retired?
Yes
No
Are you planning to retire within the next three years?
Yes
No
Do you intend to move out of the Archdiocese within the next three years?
Yes
No
Do you have any special needs?
Are you interested in a parish administration position?
Yes, Full-Time
Yes, Part-Time
No
Comments, Questions, Concerns and Recommendations for Diaconate-Sponsored Workshops
Each year the CT Catholic Directory is published, which includes deacon name, address, telephone number, parish assignment and wife's name (if married) unless otherwise specified. Do we have your permission to provide this information for the next publication?
Yes
No
Today's Date
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Month
-
Day
Year
Date
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