Form 1B - Sacramental and Educational Status — Office of Staffing and Vocations

Name *

Prefix

First Name *

Middle Name

Last Name *

Email Address *

Sacramental Status

Sacraments Received *

Baptism Confirmation First Communion First Reconciliation Diaconate Ordination Priesthood Ordination Bishops Consecration

Date of Baptism

Location of Baptism

Date of Confirmation

Location of Confirmation

Date of First Communion

Location of First Communion

Date of First Reconciliation

Location of First Reconciliation

Date of Diaconate Ordination

Location of Diaconate Ordination

Diaconate Ordination Bishop

Jurisdiction of Diaconate Ordination

Date of Priesthood Ordination

Location of Priesthood Ordination

Jurisdiction of Priesthood Ordination

Date of Bishop Consecration

Location of Bishops Consecration

Bishop(s) who consecrated you

Jurisdiction of Bishop Consecration

Religious Orders you have been in or are a part of now

Jurisdictional History

List all past jurisdictions you have been in

Current Jurisdiction

Current Bishop you serve under

Educational History

Are you a secondary school graduate, or else have an equivalency certificate? *

Yes No

Name of School:

Date of Graduation:

Do you have an Associate's degree? *

Yes No

Associates Degree School

Date of Graduation:

Do you have a Bachelor's degree? *

Yes No

Bachelor's Degree School

Date of Graduation:

Do you have a Master's degree? *

Yes No

Master's Degree School

Date of Graduation:

Do you have a Doctoral degree? *

Yes No

Doctoral School

Date of Graduation

What was your major or area of specialization?

Are you a seminary graduate? *

Yes No

Name of Seminary:

• Attach a copy of your degree or certificate and transcripts of your highest level of academic achievement. Attach a copy of your degree or certificate and transcripts of your highest level of achievement in seminary.Max 8 MB per file.

Please describe your special skills, talents, etc., including artistic, technical, professional, and/or pastoral talents. *

Please list any items you have published: fiction, poetry, non-fiction: *

Please list any self-directed, private studies you have done: *