ARCHDIOCESE OF SAN ANTONIO CATECHETICAL CENTER 2718 West Woodlawn Avenue San Antonio, Texas 78228 FOR OFFICE USE ONLY Received: Fee: Reviewed APPLICATION FOR CERTIFICATION OF PERMANENT DEACONS Please PRINT as you wish your name to appear on your certificate. FULL NAME HOME ADDRESS Street PHONE PARISH/SCHOOL (circle one) City Area Code + Day EMAIL Zip Area Code + Evening I hereby apply for the following Catechist Certification: Intermediate -or- Advanced (Level 2) (Level 3) I hereby apply for Renewal of Catechist Certification: (When applying for renewal, documentation of ongoing formation must be included in packet.) Level of Last Certification: The following documentation is attached: Readable photocopy of Pagella - or - Letter of Validation from the Diaconate Office Documentation of Level 2 course #221 The Ministry of Catechesis: Theory and Practice -or- an equivalency to this course (Pastoral Catechesis) I have years of successful catechetical experience number Signature of Applicant A $5 application fee must accompany this application. To be included in the annual Archdiocesan appreciation expressed in the Catechetical Sunday issue of Today s Catholic, this application must be submitted by June 30 th. This form replaces all previous versions December 2014 A-2
Documentation is required to support all workshops and courses taken. PERMANENT DEACON Level 2 / 3 Formation Page FULL NAME DATE PARISH/SCHOOL I DEACON FORMATION PROGRAM FOR INTERMEDIATE (LEVEL 2) CERTIFICATION (NOTE: Please send copies of documentation, no originals.) Readable photocopy of Pagella -or- Letter of Validation from Permanent Diaconate Office Documentation of Level 2 course #221 The Ministry of Catechesis: Theory and Practice -or- an equivalency to this course (Pastoral Catechesis) II PRAYER AND RETREAT EXPERIENCES Two Required Type of Experience: Location: Attended: III UPDATING If any of the work listed above was done more than 5 years ago, please supply evidence that you have continued your formation since that time. Continued on Reverse December 2014 B-5
Documentation is required to support all workshops and courses taken. IV COMMENTS V Submit this form along with the Application for Certification of Permanent Deacons (A-2) form and application fee. Consult the Certification Process Manual for qualifying criteria for equivalencies. This form replaces all previous versions. December 2014 B-5
ARCHDIOCESE OF SAN ANTONIO CATECHETICAL CENTER 2718 West Woodlawn Avenue San Antonio, Texas 78228 210-734-1638 RECOMMENDATION FOR CATECHIST CERTIFICATION (to be completed by DRE, Principal, Pastor or Catechetical Ministry Supervisor) Each catechist applying for certification needs a written recommendation attesting to competencies as a catechist. Please review this recommendation with the applicant. NAME OF APPLICANT APPLYING FOR CERTIFICATION LEVEL (circle one) 1 2 3 4 Renewal PARISH OR SCHOOL (circle one) YES NO (to be completed by ministry supervisor) Is the applicant active in your parish/school catechetical program Has the applicant had successful experience as a catechist? -1 years for Intermediate Certification -2 years for Advance Certification -3 years for Professional Certification Does this applicant exhibit a familiarity with the cultural reality of the Archdiocese of San Antonio? Please COMMENT on your experience of the applicant s skill and effectiveness as a catechist. I recommend Applicant s Name for certification. Signature of Ministry Supervisor I have read and discussed this completed form with the person recommending me. Applicant s Signature A $5 application fee must accompany this application. To be included in the annual Archdiocesan appreciation expressed in the Catechetical Sunday issue of Today s Catholic, this application must be submitted by June 30th. This form replaces all previous versions October 2014 A-4