Home ➥ Programs ➥ Pre-Ordination Retreats ➥ Pre-Ordination Retreat Application

	Personal Information
Name (required)
Date of Birth (required)
Name of Seminary:
Seminary Address:
Apartment/Suite
City
State
Zip/Postal Code
Country
Diocese:
What is your expected year of ordination to the diaconate?
What is your expected year of ordination to the priesthood?
Landline Phone Number:*	() -
Cell Phone Number:	() -
*If you have an international phone number, please enter it here:
Email: (required)
Home Mailing Address (if different from address above): (required)
Apartment/Suite
City (required)
State
Zip/Postal Code (required)
Country
Home Phone Number:	() -
Preferred mailing address?
	General Information
Have you made a silent directed retreat with daily individual spiritual direction before? Please list.
Describe your personal desires and reasons for applying to attend the "Pre-Ordination Retreat"
How did you hear about the "Pre-Ordination Retreat"?
	Vocation Director Information
Vocation Director's Name
Mailing Address
Apartment/Suite
City
State
Zip/Postal Code
Country
Phone Number:*	() -
*If they have an international phone number, please enter it here:
Email:
	Finance Please list the contact information for the person responsible for financing your participation in the pre-ordination retreat.
Name of Finance Person
Title
Email
Mailing Address
Apartment/Suite
City
State
Zip/Postal Code
Country
Phone Number:*	() -
*If they have an international phone number, please enter it here:
	Health Information
Do you have any physical disabilities which require accommodation?
If yes, please explain:
Do you have any dietary needs which require accommodation?
If yes, please explain:
	Emergency Contact(s) Name and address of person(s) to be notified in case of emergency.
Name(s)
Mailing Address
Apartment/Suite
City
State
Zip/Postal Code
Country
Phone Number:*	() -
*If they have an international phone number, please enter it here:
Relationship
	Electronic Signature and Date
	By clicking the checkbox, you agree that your typed name and date below will count as the equivalent of your signature on this application. (required)
Signature (required)
Date (required)

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Electronic Signature and Date

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