Detailed Information

Last name

First name

Date of Birth

Month

Day

Year

Age

Nationality

Diocese/Order/Congregation

Phone

Email

Name of Local Superior/Bishop:

Address

What transformative ongoing renewal program/s and accompaniment you are interested to join?

Tending the Fire 1 & 2

Midlife Awakening and Integration Program

Calming the Storm

Individual/Group Retreat

Skills Training and Accompaniment program for Formators of Initial Formation

Formative Assessment and Accompaniment Program

Psycho-Spiritual and Vocational Assessment and Profiling

Tending the Mystery

Skills Training and Accompaniment Program for Ministers of Ongoing Formation for Clergy and Consecrated persons

What are your reasons for joining?

Self-discovery

Sent by the bishop/superior

Ministerial Issues

Personal Concerns

Please specify ministerial issues/personal reasons below:

Medical Concerns (Illnesses, hospitalizations, operations, head traumas, etc.)

Current Medical Concerns

Any psychological and/or spiritual help received after ordination to the priesthood?

Counseling

Spiritual Direction

Psychiatric Consultation

Group Therapy

Programs availed at any Renewal Center?

Ministerial Information

Age when you first entered the seminary/convent

If you were a “late vocation”, please indicate what your work is or what level of education you were in before entering the seminary/convent.

Year of Graduation from Theological Studies

Date of Ordination to Diaconate/ Temporary Profession

Date of Ordination to the Priesthood /Perpetual Profession

Do you have any favorite priestly/religious task/ministry?

None

Yes

Other

Number of years in your current/latest assignment

Designation

Priestly/ Religious Ministry

What do you like most about the priesthood/religious life?

What do you like least about the priesthood/ religious life?

History of Ministerial Assignments

Please indicate Designation, Number of Years and Place (City, Town, Institution etc.)

I hereby certify that I have given the correct information on this data form.

Signature

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