THE ROMAN CATHOLIC DIOCESE OF FRESNO
1550 North Fresno Street, Fresno, California 93703-3788
Telephone (559) 488-7409
Fax (559) 488-7464
Clergy Request for Letter of Suitability Form (Pilgrimages)
Personal Information/Pastoral Assignment
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ordination Date
Date of Last Child Protection Training
*
-
Month
-
Day
Year
Date
Name of Current Parish Assignment
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Travel Information
Please list all destinations of Pilgrimage (Country, Province,City)
Start Date of Pilgrimage
*
-
Month
-
Day
Year
Date
End Date of Pilgrimage
*
-
Month
-
Day
Year
Date
Purpose of Visit (Mass, Baptism, Marriage, Confessions, Funeral, etc.)
*
Priests: Has Coverage Been Arranged? (if yes, please submit in writing the information necessary of who will cover the parish/ responsibilities while you are away from the parish)
Yes
No
Name of Person Covering Your Parish
Additional Information:
Submit
Should be Empty: