Feel free to contact us with any questions, concerns or thoughts you may have. Peace and wellbeing to you. Name: First Middle Last.
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1 Personal Inventory We realize that you are just beginning to express interest in learning about our way of life. We hope that the information provided in this website will answer some of your questions, as well as bring new ones to light. In order to best respond to God s call, it is important for us to get to know each other through a process we call discernment. By filling out this form you are not actually applying to join our community; therefore, you assume no obligation once you submit it. The information given here will be seen only by those working with you in your vocational journey. Feel free to contact us with any questions, concerns or thoughts you may have. Peace and wellbeing to you. Fr. Erasmo Romero, O.F.M. (Please type or print in ink, and complete the entire form) General Information Today s Date: Name: First Middle Last Address: City: State: Zip Code: Phone Number: Cell Phone: Date of Birth: Age:
2 Employment History Are you presently employed? Yes No Full Time Part Time List your work experience beginning with your current or last place of employment. 1. Present: Employer Job Title 2. Previous: Employer Job title 3. Previous: Employer Job title 4. Previous: Employer Job title Health History How would you describe your current state of health? Excellent Good Fair Poor Any current illness? Yes No If yes, please describe: Any Physical handicaps? Yes No If yes, please describe:
3 Have you ever been under psychological or psychiatric care? Yes No If yes, please describe: Family History Father s Name: First Middle Last Living Deceased Date of death: Month/Day/Year Religion: Occupation: (Before retirement, if applicable) City: State: Zip Code: Phone Number: Cell Phone: Age: Mother s Name: First Middle Last Living Deceased Date of death: Month/Day/Year Religion: Occupation: (Before retirement, if applicable) City: State: Zip Code: Phone Number: Cell Phone: Age:
4 Siblings: (If you need more space, use the back of the sheet) Spiritual History Name of the Parish You Currently Attend: City, State, Zip Code: Phone Number(s): Name of the Pastor: How often do attend Mass? How often do you participate in the Sacrament of Reconciliation? Describe the parish activities that you are or have been involved in, including the month or year that your participation began, the duration of your participation, as well as the time when it ended. If you were not originally baptized in the Catholic Church, when and where were you received into the Church? Church/Parish: City, State: Country: Month/Year:
5 To what denomination or religion did you belong before becoming a Catholic? Have you spoken with a Priest or Religious about your vocation? Yes No If yes, with whom did you speak about your vocation? City, State, Zip code: Phone number(s): How often have you met with this person? When was the last time you spoke with him/her? Have you ever applied to join another Religious Order or Seminary? Yes No If yes, when and with whom did you apply? Have you ever been a member or any Religious Order or Seminary? Yes No If yes, please provide us with the following information: Institution(s): Date you joined the institution(s): Date you departed the Institution(s): City, State, Zip Code Phone Numbers: (If you need more space, use the back of the sheet) If, at the end of your discernment process with us, you believe that God is calling you to follow in the footsteps of St. Francis by joining our community, when would you like to begin your journey? Month/Year Are you considering Priestly Ordination? Yes No Not Sure
6 Educational History (If you need more space for any of the sections, use the back of the sheet) High School: Name of School: City/State, Zip Code: Did you graduate? Yes No GED Graduation Date: Undergraduate Studies: Name of School(s): Dates Attended: City, State, Zip Code: Last Year Attended: Freshman Sophomore Junior Senior Bachelor s Degree Associate s Degree Major: Date of Graduation: GPA: Graduation Date: Graduate Studies: Please list the institution(s) attended, the location, your field of study, the dates attended, and the level(s) completed Skilled or Professional Training: Field of Training: Institution: Dates Attended City, State, Zip Code: Type of Degree or Certificate:
7 Responsibilities or Obligations Does your family need your support? Yes No If yes, please describe the type of support you provide and to what extent: Do you have any outstanding debts or installment loans? Yes No If yes, please describe: What is your current Marital Status? Married Widow Single Other If other please explain: Have you ever been married? Yes No If Yes, where did the ceremony take place? Parish or Church (Denomination): Date when the ceremony took place: Has your marriage been annulled? Yes No If No please explain: Do you have any children? Yes No If Yes, please provide their name and age:
8 Do you have any civil obligation towards your children either by agreement or contract? Yes No If Yes, please describe: Have you ever been in military service? Yes No If Yes, when and how were you discharged? Have you ever been an employee of any branch of the military? Yes No If Yes, please explain in what capacity: Do you have any type of police or criminal record? Yes No If Yes, please explain: Have you ever spent time in jail or prison? Yes No If Yes please explain: Date of release: Are you under a Court imposed period of Probation? Yes No If Yes please explain: Do you currently have any outstanding warrants for your arrest? Yes No If Yes please explain: Thank you very much for taking the time to fill out this Form.
9 Return this form to: Fr. Erasmo Romero, OFM PO Box Albuquerque, NM or to:
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