Form - Wife’s Application for Husband’s Admission to the Permanent Diaconate - Diocese of Charlotte

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- Buscar Parroquia
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Wife’s Application for Husband’s Admission to the Permanent Diaconate

I. Personal Information

Date of Application

MM slash DD slash YYYY

Legal Name*

First Middle Last Preferred

Name of Spouse Applying to the Diaconate

First Middle/maiden Last Preferred

Home Address

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Work Phone

Email Address

Date of Birth

MM slash DD slash YYYY

Age

Place of Birth

City

City

State

State

Country

Country

Are you a US Citizen?

Yes

No

Citizenship Country

Type Visa, expiration date, comments

Primary Language

Other Languages and Fluency

II. Employment History

Job Status

If "Other", describe

Present Occupation

Will your current employment interfere with your need to attend formation classes?

Yes

No

Briefly list other employment areas

What percent of the household income do you contribute?

III. Sacramental Information

Note: you are also required to submit a baptismal certificate with notations dated within six months of the application filing date.

Did you become Catholic as Adult (RCIA)

Yes

No

How many years have you been Catholic (enter zero if not Catholic)

If not Catholic, please describe religious beliefs

Additional Marriage Information (please list all prior marriages)

Spouse's Name

Date of Marriage

Date of Annulment

Diocese

IV. Parish Information

Current Parish Name

Address

Pastor

Number of Years

Other Parishes of which you have been a member over the last five years, most recent first

Other Parish Name

Address

Pastor

Number of Years

V. Family History

Please list parents, step-parents and guardians you had while growing up

Name

Relationship

Religion

Living

If you currently provide care, describe

Please list children and dependents

Name

Relationship

Age

At Home

List any special needs or serious illnesses

Please list any other persons currently living in your household

Name

Relationship

Age

Describe why person is in your home

VI. Academic Information

List the highest academic degree obtained and field of study

Describe any additional training or skills you feel are significant

VII. Parish and Community Volunteer Service

Please list your most significant volunteer activities within the parish (extraordinary minister of communion, lector, catechist, music ministry, parish council, finance council, tribunal advocate, RCIA team, youth ministry...)

Parish Activity or Ministry

Years in Ministry

Still Active?

If not active, year stopped

When active, hrs per month

If applicable, list certification received or positions held

Please list your most significant volunteer activities outside of the parish and in the community (soup kitchen, prison ministry, hospital ministry, guardian ad litem, homeless shelters, civic organizations, food pantries...)

Community Volunteer Activities

Years as volunteer

Still Active?

If not active, Year stopped

When active, hrs per Month

If applicable, list certification received or positions held

VIII. Health Information

In addition to the health questions below, you will also be required to have your physician complete a separate medial report.

Please rate your general health

List any existing physical or mental limitations which you currently have

Have you ever received disability payments?

Yes

No

Have you been hospitalized in the last 5 years?

Yes

No

Have you ever experienced problems or been treated for chemical dependency, emotional / psychological difficulties, alcohol abuse, hypertension?

Yes

No

Please explain any of the above health question in which you answered "Yes"

IX. Personal Statements

Please select the phrase that best describes your attitude toward your husband applying to the Permanent Diaconate

Please select the phrase that best describes how you feel the formation program will affect your marriage and family

Do you feel your husband has time to fully engage in the training program?

Yes

No

Wives of candidates must attend aspirancy sessions and formation classes with their husbands. Are you willing to make this commitment?

Yes

No

Do you give your husband full consent to apply and pursue his desire to become a Permanent Deacon?

Yes

No

Please explain any of the above questions in which you answered "No"

Please provide short answers to the questions below

1. Why do you think your husband wants to be a Permanent Deacon?

2. What background experiences would be of value to him as a Deacon?

3. What particular problems would have to be solved should your husband be accepted?

4. Should your husband be ordained as a Permanent Deacon, describe how you think your life will change?

5. If you could, what practices, traditions, and teachings within the Church would you work to improve, modify, or change?

Additional Comments? On your answers to any questions on this application, do you wish to make any additional comment or clarification

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