Form 1E – Consent and Acknowledgements – Office of Staffing and Vocations

Prefix

First Name *

Middle Name

Last Name *

Email Address *

If accepted as a candidate for Holy Orders, or if you are received into the OCCI through incardination, do you hereby solemnly affirm that you will comply with and conform to the canons and codes of conduct? *YesNo

Do you hereby solemnly affirm that you will submit to the guidance, leadership and authority of your Bishop Ordinary and the College of Bishops? *YesNo

Do you hereby solemnly affirm that you will not engage in any activity that is or could be interpreted as, schismatic, scandalous, divisive, abusive, discriminatory, or disrespectful? *YesNo

Do you hereby solemnly affirm that you will respect the opinions and practices of other Christians, parishes, and clergy even though you may not personally agree; and that you will strive for unity, and respect the dignity of all God’s People? *YesNo

I acknowledge that the OCCI ordains women to all ranks of clergy and ordains homosexuals to all ranks of clergy. *YesNo

I acknowledge that the OCCI does perform same-sex weddings/unions and does not discrimination against any human being for any reason. *YesNo

Do you understand that the OCCI does not provide stipend, recompense or remuneration for its clergy and others, nor does it financially support such missions or churches; and that you will need either to hold secular employment, or live by the grace and generosity of your mission, church, or ministry? *YesNo

The undersigned, an applicant for Holy Orders in the Old Catholic Churches International, give my permission to the Commission on Ordained Ministry to share reports of my physical examination, and my psychological examination, my psychological evaluation, along with my applications for Nomination, Postulancy, Candidacy, to be ordained Deacon, Priest or Bishop and all supporting material supplied by me or my parish or other community of faith with the Commission on Ordained Ministry of the OCCI, Deacon, Priest or Bishop Mentors appointed by the Commission on Ordained Ministry, and the College of Bishops and Vicars. *0 / 4

I further give my permission to the psychological examiners, psychological evaluators and medical examiners to exchange information about me with each other for the purposes of a full and comprehensive assessment of me for Holy Orders. *0 / 4

I understand that the results and reports of the psychological examinations, the psychological evaluations and the medical examinations are the property of the OCCI and are subject to the rules of the OCCI for management of personal information, and may be utilized pursuant to agreements between me and the OCCI. I further agree that the OCCI’s psychiatric or psychological evaluator will be held harmless in any action associated with the management of information gathered in the evaluation process. *

I understand and agree that written reports of my medical examination, psychological or psychiatric examination and psychological evaluation will be sent directly to the Presiding Bishop of the OCCI or his other designees and these reports will remain a part of my permanent record with the OCCI. *

Signature *

Date *

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