Online Parish Advocate Form

Parish Advocate Form

The Office for Persons with Disabilities (OPD) goal is to have a Parish Advocate/Contact from each parish acting on behalf of persons with disabilities and their families in assisting pastors in their role of inviting people to full participation within the Parish. Parish Advocates are volunteers who serve as liaisons between persons with disabilities and their parishes and between the parish and Archdiocesan Office for Persons with Disabilities.

Name of Parish*

Parish Name, Town

Parish email

example@example.com

Person appointed as Parish Advocate:*

First NameLast Name

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parish Advocate Phone Number*

Area CodePhone Number

Parish Advocate email*

example@example.com

Pastor's Name*

First NameLast Name

Date Parish Advocate appointed by pastor*

Date

Newly AppointedContinuing Service

Name of person completing this form*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Thank you very much for your assistance in completing this information.

Office for Persons with Disabilities & The Deaf Apostolate
222 North 17th Street
Philadelphia, PA 19103
www.opdarchphilly.org