The Diocese of C4SO
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Application Form
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First Name *
Last Name *
Middle Initial
Date *
Address *
Apt./Unit Number
City *
State *
Zip *
Home Phone *
Cell Phone *
Email *
Place of Baptism
Baptism Date
Place of Confirmation
Confirmation Date
Spouse’s Name
Spouse's DOB
Date of Marriage
Have you ever been in discernment with another diocese or ecclesiastical body? *
--Select--
Yes
No
Diocese
Have you ever been ordained? *
--Select--
Yes
No
Ordination Date
Have you ever been divorced?
--Select--
Yes
No
Divorce Date
Graduate School
Graduate School Address
Graduate School City
Graduate School State
Graduate School Zip
From
To
Did you graduate?
--Select--
Yes
No
Degree
Additional Certifications/Training
Church Leader Reference First Name
Church Leader Reference Last Name
Church Leader Reference Relationship
Church Leader Reference Church
Church Leader Reference Phone Number
Church Leader Reference Address Line 1
Church Leader Reference Apartment/Unit
Church Leader Reference City
Church Leader Reference State
Church Leader Reference Zip
Church Leader Reference Email
Professional Reference First Name
Professional Reference Last Name
Professional Reference Relationship
Professional Reference Church
Professional Reference Phone Number
Professional Reference Address
Professional Reference Apartment/Unit
Professional Reference City
Professional Reference State
Professional Reference Zip
Professional Reference Email
Personal Reference First Name
Personal Reference Last Name
Personal Reference Relationship
Personal Reference Church
Personal Reference Phone Number
Personal Reference Address
Personal Reference Apartment/Unit
Personal Reference City
Personal Reference State
Personal Reference Zip
Personal Reference Email
Previous Company
Previous Company Phone Number
Previous Job Title
Previous Job Address
Previous Job City
Previous Job State
Previous Job Zip
Previous Job Responsibilities
Previous Job Start Date
Previous Job End Date
Reason for Leaving
Do you have Military Experience?
--Select--
Yes
No
Military Branch
Military Start Date
Military End Date
Military Rank at Discharge
Military Type of Discharge
If other than honorable, explain discharge
Resume
Spiritual Autobiography
Undergraduate Transcript
Postgraduate Transcript
If mailing transcripts, please have them sent directly to C4SO, 4550 Legacy Drive, Plano, Texas 75024. Transcripts provided:
Undergraduate
Postgraduate
Candidate Signature
Submission Date
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