Basic Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Best time to call?
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Morning
Afternoon
Evening
Anytime
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth
*
Are you a US Citizen?
Yes
No
If you are not a US Citizen, please indicate your status
Current State of Life
Please Select
Single
Single w/Dependents
Divorced
Divorced w/Dependents
Married
Widower
Widower w/Dependents
Diocesan Priest
Member of Religious Community
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Religious Background
Are you a convert to the Catholic Church?
Yes
No
If you converted, when were you received into the Church?
-
Month
-
Day
Year
Date
Have you received the sacraments of Baptism, Holy Eucharist and Confirmation?
Yes
No
Have you ever applied to and, or, entered another religious community or seminary?
Yes
No
If so, please explain
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Religious Background
(continued)
Do you have a spiritual director?
Yes
No
If so, do you see them regularly?
Yes
No
What is your vocation interest at this time?
Brotherhood
Priesthood
Uncertain
How did you find out about the Franciscans?
At this time, what attracts you to the Franciscan way of Life?
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Health Background
How would you describe your personal health?
Excellent
Good
Fair
Poor
Do you have any physical handicaps?
Yes
No
If do you, please explain
Do you participate in any recovery programs?
Yes
No
If so, which kind? (e.g., AA, NA. etc.)
And for how long?
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Education History
Did you graduate from high school?
*
Yes
No
Did you earn a GED?
*
Yes
No
If so, what year?
*
Did you have a college degree?
Yes
No
If so, what was your major?
Do you have a graduate degree?
Yes
No
If so, what is your graduate degree?
Do you have any debt for which you are responsible?
Yes
No
If so, please indication the type of debt.
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Occupational History
Have you ever served in the military?
Yes
No
If so, when/where were you discharged?
Do you have a police record?
Yes
No
If so, please explain your police record
Are you presently employed?
Yes
No
If employed, what position do you hold?
What is you place of employment?
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