Diaconate Inquiry Form

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    Diaconate Inquiry Form

Diocese of Lafayette Permanent Diaconate Formation
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- Full Baptismal name (please include middle name) REQUIRED Please fill out this field. Please enter valid data.
- Address:
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Name of Church Parish REQUIRED Please fill out this field. Please enter valid data.
- Pastor's Name REQUIRED Please fill out this field. Please enter valid data.
- Telephone (please include area code)
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Work Phone Please enter valid data.
- Cell Phone Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Date of birth REQUIRED Please fill out this field. Please enter valid data.
- Place of birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Place of Employment REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Single Married Widowed Divorced Please fill out this field.
- Education Level REQUIRED High School College Grad School (Masters Degree) Post Grad (Doctorate) Please fill out this field.
- Spouse's Information (Required)
- Spouse's legal name Please enter valid data.
- Spouse's date of birth Please enter valid data.
- Spouse's Occupation Please enter valid data.
- Do you and your spouse have children? Yes No
- If yes, please specify their ages.
- Church Parish Involvement
- Check all that apply Altar Server Reader (Lector) Extraordinary Minister of Holy Communion (At Mass) Extraordinary Minister of Holy Communion (To the sick/homebound) Usher/greeter Choir Leader Choir Member Cantor Instrumentalist Sacristan Master of Ceremonies RCIA Team Leader RCIA Team Teacher RCIA Sponsor Catechist (Children) Catechist (Sacramental Preparation) Catechist (Baptism) Catechist (1st Communion) Catechist (1st Reconciliation) Catechist (Confirmation) Catechist (Adult Faith Formation) Marriage Preparation/mentor couple Ministry to the homeless Prison Ministry Retreat experiences (participant/team)
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Diaconate Inquiry Form

Address:

Telephone (please include area code)

Spouse's Information (Required)

Church Parish Involvement