Application for Holy Orders

Application for Holy Orders
1. Name

First NameMiddle InitialLast Name
2. Nickname or name by which you prefer to be called:
3. The ministry to which you believe you are called is:
4. Church sponsoring you for ordination
4a. Rector's Name
4b. How long have you been a member of this church?
5. Telephones
Format: (000) 000-0000.
6. E-mail address
example@example.com
7. Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
8. Permanent Address, if different from above.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

9. Date of Birth

MonthDayYear
Date
Birthplace (City, State)
11. Nationality
If not a U.S. citizen, what is your U.S. Residency status

12. Date of Baptism

MonthDayYear
Date
Church, City, State and Denomination in which Baptism took place:
13. Date of Confirmation or Reception in the Anglican Church

MonthDayYear
Date
By
Name of Bishop
Church, City and Diocese in which Confirmation/Reception took place
14. Have you ever previously applied for ordination in any other diocese of the Anglican Church in North America or any other denomination?

If yes, give details and results using box below.
If you answered YES to question 14, please give details and results using this box.

15. High School(s) attended (name/city/state)

16. Give the following information on each college or university attended, including course of study if currently enrolled. Please have official transcripts sent to DOMA for all college level academic work or above.

Rows	Name of College or University & Location	Degree	Major	Year of Graduation
1
2
3
4
5

17. Are you currently enrolled in an education institution?
Name and address of educational institution
18. Please attach Statement 1 briefly outlining your hopes or thoughts concerning further training or preparation for ministry.
Statement 1: Further Training

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19. How do you presently earn a living? Please attach Statement 2 outlining your work history and giving a list of all employers and positions held with dates of employment.
Statement 2: Work History

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20. Marital status:
Date of Wedding

MonthDayYear
Date
Was this marriage solemnized/blessed in the Church?
If the blessing took place at a time other than at the wedding, please explain:
Spouse's Full Name
Widowed?

MonthDayYear
Date of Spouse's Death
Separated?

MonthDayYear
Date of Separation
If currently married, Spouse's Date of Birth

MonthDayYear
Date
Spouse's email address
example@example.com
Spouse's cell phone
Format: (000) 000-0000.

Children

Rows	Name	Nickname	Birthdate	M/F?
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Child 7
Child 8

21. Have you been divorced?
If yes, please attach Statement 3, describing the details of your previous marriage, the divorce, and the current state of your relationship with your former spouse, and a brief history of your present marriage (if applicable). Note that the Canons of the Anglican Church in North America require the permission of the Archbishop for a divorced and remarried person to be ordained. Application is made to the Archbishop by the Bishop at his discretion.
Statement 3: Details of Previous Marriage

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22. If you are married, please attach Statement 4, a signed letter from your spouse indicating reaction to this discernment of your call to ordained ministry.
Statement 4: Signed Letter from Spouse

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23. Statement 5 will be a spiritual biography which will focus on your internal journey: trace the path from your upbringing to the present, focusing on your spiritual journey, the highs, the lows, your parents, your family, your relationships with people and with the Lord, your sin and brokenness, and the grace of God. After completing this application, you will be directed to a form to complete the spiritual autobiography.
24. Are you or have you ever been a member of a secret society?
If so, please explain. (Use an attachment if needed).
Secret Society Explanation

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The Constitution and Canons of the Diocese require all clergy to affirm the Fundamental Declarations of the Anglican Church in North America and the Jerusalem Declaration (see file here).
25. Do you affirm these Declarations?
Please read the standards of sexual morality and ethics of the Anglican Church in North America as expressed in Title II, Canon 8 of the ACNA Constitution & Canons. Full document here.
26. Do you support without reservation the standards of sexual morality and ethics of the Anglican Church in North America as expressed in Title II, Canon 8? (Use an attachment if needed).

27. After submitting this application, you will be asked to complete and sign an "Authorization and Consent to Release of Personal Information." You can also find that form here.
28. Please attach a recent photo of you and your immediate family (spouse and children who live at home). A professional photo is not necessary, but it should be of appropriate quality and formality for distribution to those involved in the approval process.
Recent Photo

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Signature
Date

MonthDayYear
Date
After hitting "submit" you will be directed to complete a form to share your spiritual autobiography story. The link for that is here. Please also complete the Authorization and Consent to Release of Personal Information available here.
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