VEYAHLI – Accompaniment Pilot Project

Application Process for Hispanic Young Adults

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* 1. Contact Information:

Name *

Diocese

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. If in University, University Name

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* 3. Date of Birth:

Enter your date of birth

Date

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* 4. Gender:

Male

Female

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* 5. State of life

Single

Married

Separated/Divorced

Discerning Marriage/Engaged

Discerning Religious/Priestly Vocation

Other (please specify)

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* 6. Language Preference:

English

Spanish

Bilingual (English and Spanish)

Other (please specify)

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* 7. As a Hispanic/Latino, do you also identify as the following? (check all that apply)

AfroLatino/ African American/ Black

Asian/Pacific Islander

Indigenous/Inuit/Native American

Mixed race

White/Caucasian

None

Other (please specify)

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* 8. How old were you when you arrived in the United States? (Select one.)

Born Here

0-12

13-17

18-39

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* 9. What ministries are you currently involved in?

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* 10. Would you like to be accompanied by:

Female

Male

No preference

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* 11. Why are you seeking to be accompanied? (short answer)

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* 12. What are you looking for in someone who is accompanying you? (short answer)

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* 13. Is there anything else that you think is important for us to know about you? (short answer)

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* 14. What days are you most available to connect with your acompañante?

Weekday Evening

Weekday Morning/Afternoon

Weekends

I am flexible