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:*

Vocational DeaconPriest
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*
Zip*
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*
Diocese and Church/Jurisdiction*
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?*

NoIf yes, give details and results (use an attachment if needed):

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	Year of Graduation	Letter/Grade Point Average	Major
1
2
3
4
5

17. Are you currently enrolled in an education institution?*

NoYes, full timeYes, part time
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:*

SingleMarried
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
MM/DD/YYYY

MonthDayYear
Date
Separated Date of Separation

MonthDayYear
Date
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: Names and Dates of Birth
21. Have you been divorced?

YesNo
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. Please attach Statement 5, a 5-8 page spiritual autobiography, to include details of your family upbringing, church involvement, testimony of commitment to Christ, discipleship/leadership experience, personal financial stewardship commitment and practice (including tithing), and call to ordained ministry.
Statement 5: 5-8 Spiritual Autobiography*

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24. Are you or have you ever been a member of a secret society?*
If so, please explain. (Use an attachment if needed).
Description of Secret Society

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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. Attach a signed copy of the form, "Authorization and Release of Information to the Diocese."
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.
Should be Empty: