Diaconate Inquiry Form Fields marked with an * are required. Question Title * Date (Required.) Please enter today's date. Date Question Title * Name: (Required.) Question Title * Date of Birth (Required.) Please enter your birth date. Date Question Title * Address: (Required.) Question Title * Email: (Required.) Question Title * Phone number: (Required.) Question Title * Parish (Required.) Ave Maria Church - Ripley Cathedral of the Immaculate Conception Church of the Ascension Church of the Holy Spirit Church of the Incarnation Church of the Nativity Church of the Resurrection Holy Angels Catholic Church Holy Cross Church Holy Family Mission Holy Rosary Catholic Church Immaculate Conception Church - Union City Our Lady of Guadalupe Mission Our Lady of Perpetual Help (OLPH) Church Our Lady of Sorrows (OLS) Church Our Lady of the Lake Church Sacred Heart Church - Humboldt Sacred Heart Church - Memphis St. Alphonsus Church St. Andrew the Apostle Church St. Ann Church - Bartlett St. Anne Church - Highland St. Augustine Church St. Brigid Church St. Francis of Assisi Church St. James Church St. John Church - Brownsville St. John the Evangelist Church - Memphis St. Joseph Church St. Jude the Apostle Church - Martin St. Jude the Apostle Church - Selmer St. Louis Church St. Mary Church - Bolivar St. Mary Church - Jackson St. Mary Church - Memphis St. Mary Church - Savannah St. Matthew Church St. Michael Church St. Patrick Church St. Paul the Apostle Church St. Peter Church St. Philip the Apostle Church St. Regina Church St. Theresa the Little Flower Church St. William Church Question Title * Marital Status (Required.) Single Married Divorced Other (please specify) Question Title * If married, please enter date of current marriage. Marriage Date Date Question Title * Have you ever been divorced? (Required.) Yes No Question Title * Ages of children: (Required.) Question Title * Ages of dependents at home: (Required.) Question Title * How many years have you been baptized? (Required.) 0 75 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * How many years have you been a confirmed Catholic? (Required.) 0 75 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * Are you a practicing Catholic? (Required.) Yes No Question Title * Are you active in your parish? (Required.) Yes No Question Title * Highest level of education: (Required.) Question Title * Are you in good health? (Required.) Yes No Question Title * Are you currently employed? (Required.) Yes No Question Title * Occupation: (Required.) Question Title * Are you proficient at speaking and writing English? (Required.) Yes No Question Title * Are you willing to undergo a complete battery of psychological tests? (Required.) Yes No Question Title * Are you willing to have annulment records reviewed as part of the application? (Required.) Yes No N/A Question Title * Are you willing to undergo a criminal background check? (Required.) Yes No Question Title * Check one: (Required.) I have previously submitted an application. I am ready to apply for the Deacon Formation Program. I am interested in learning more but not ready to apply. Page1 / 1 100% of survey complete. Submit
