Application for the Priesthood Diocese of Nebraska PART I: SOCIAL HISTORY FORM Name: Last First Middle Maiden Present Address: Permanent Address: Telephone: Home: Cell Phone: Business: E-mail: Birth Birthplace: Marital Status: Number of this marriage: FAMILY Date of this marriage: Dates of preceding marriage(s): Spouse Name: Occupation: Religious Affiliation: Date of Birth: Number of years of post high school education:
2 of 7 Children: Name Age Sex Level of Education Occupation Religious Affiliation Parents: Name Age Sex Level of Education Occupation Religious Affiliation Siblings: Name Age Sex Level of Education Occupation Religious Affiliation EDUCATION High School: Date of Graduation: Colleges Attended: Date of Graduation: Major(s): College: Degree: Graduate Education: College/University Dates Degrees Attach evidence of completion of Continuing Education, Education for Ministry (EFM), Clinical Pastoral Education (CPE) or other relevant courses. List publications to which you subscribe: Present Employer: EMPLOYMENT HISTORY Length of Employment: Job Title: Job description and reason for leaving: Previous Employer:
3 of 7 Dates of Employment: Job Title: Job description and reason for leaving: Previous Employer: Dates of Employment: Job Title: Job Description: COMMUNITY INVOLVEMENT List volunteer organizations, boards, etc., with which you have served (last 10 years): Name of organization Length of Service Position or Title CHURCH/PARISH LIFE Baptism City: Parish: Denomination: Clergy: Confirmation City: Parish: Denomination: Bishop/clergy: Reception (If you are coming from another denomination) City: Parish: Bishop:
4 of 7 Current Parish Name: City: Date of Affiliation: Diocese of Nebraska Date of Affiliation: How long have you been an active Church member? List ways in which you are or have been active in your present parish and the length of time of involvement in each activity: List ways in which you were active in previous parishes, length of time, etc.: If you have experience serving on committees at the diocesan (or other denominational equivalent) or national church (Episcopal or other) level, please describe. Do you or have you attended adult and/or Christian education classes? Describe briefly, including frequency: How often do you participate in the Holy Eucharist? Have you ever been ordained as a priest/pastor/clergyperson in another denomination or religion? If yes, please give dates of your ordination and details of your renunciation of those vows. Have you been ordained as a deacon in the Episcopal Church? If yes, please give details of your ordination.
5 of 7 VOCATION Describe your discussions with your rector concerning your perceived call to ordained ministry. If married, describe your discussions with your spouse concerning your perceived call to ordained ministry. If you have children, give a brief account of their feelings about your perceived call to ordained ministry. If applicable, give a brief description of your parent s feelings about your perceived call to ordained ministry. Have you previously applied for admission as a postulant? If yes, please complete: When: Where: Name of Bishop: Result: Do you have a rule of life? If so, describe and note how you follow it. What do you perceive you could do (other than administer the sacraments) that you could not do as a committed layperson? If you were to be ordained a priest, how do you foresee your ministry developing (parish, bivocational, rural, etc)? Describe your educational plans towards ordination.
6 of 7 Are you currently seriously at odds with any beliefs or practices of the Episcopal Church? Please explain. FINANCES How do you plan to support yourself (and dependents, if applicable) during your time in seminary? If you have debts, what is the approximate amount? What is your plan for repaying them? Have you had any problems with finances (such as bankruptcy), in the past or the present? If so, describe. GENERAL Describe your present physical and mental health. Have you previously had any physical and/or mental health problems? If so, describe. Have you, or any member of your family, ever abused any chemical substance? If so, please describe. Have you ever been convicted of a crime? If so, describe. Please describe your sexual orientation. Is there anything in your background that might be detrimental to your serving as a priest?
7 of 7 Signature: Please attach a recent picture of you and/or your family. Snapshots are welcome.