Application Forms
CONSECRATION OF [AN EREMITE] [A WIDOW] [A VIRGIN] According to [Canon 603] [Canon 604] [Canon 605]
APPLICATION FORM
To________________________________________ [priest of the Society of Jesus] [pastor of _____ Parish] [Bishop of the Diocese of __________]
I, ____________________________ (name), of ______________(city), _____________(state), desiring to begin formal preparation to receive the Consecration of [an Eremitic] [a Widow] [a Virgin], make this petition to be considered for such Consecration. I understand that a period of preparation must precede this sacramental, and I offer my cooperation in such a process.
Signature:____________________________________
Dated: ____________________________________
Personal Information:
Name: _________________________________________ Address:_________________________________________ City:________________________State:______________Zip:____________ Phone: ________________________ E-mail: ________________________ Place and Date of birth:___________________________________________ Place and Date of Baptism:__________________________________________ Place and Date of First Holy Communion:_______________________________ Place and Date of Confirmation:______________________________________
References: (Please list three. By listing their names below, you are agreeing that they may answer questions about you and how they know you. Please do not list your spiritual director as one of these references.)
Name: ______________________________________ Address:______________________________________
Name: ______________________________________ Address:______________________________________
Name: ______________________________________ Address:______________________________________
Please list the name and address of your pastor, who will be asked to be a reference for you.
Name: _______________________________________ Address:______________________________________
Please list the name and address of your spiritual director, who will be asked only if you have been receiving consistent spiritual direction.
Name: ______________________________________ Address:______________________________________
1. Have you ever been a member of a religious institute or other form of the consecrated life, or have you applied to another diocese for the consecration of [an eremitic] [a widow] [a virgin]? If yes, please explain.
2. Have you ever been married?
3. Have you ever lived in open violation of chastity? Documentation:
Please attach proofs of Baptism (current copy of Baptismal Certificate), First Holy Communion, Confirmation, and citizenship.
Because the (Arch)Diocese of _______________ is not responsible for the financial care of consecrated [eremitics] [widows][ virgins], please indicate your means of financial independence:
1. What is your current means of income? 2. Is it adequate to support you? 3. How are your providing for your retirement? 4. What health insurance provisions do you have? 5. Additional comments on your financial status, such as disability insurance, homeowners insurance, personal liability umbrella insurance policy, and any other comments on your financial status
Please attach a personal life history, indicating your reasons for seeking the Consecration of [an Eremitic] [a Widow] [a Virgin].
Please list below education and work experience, both salaried and volunteer, and indicate approximate dates. Attach separate sheets if necessary.
Reference for: ______________________________ As a Consecrated [Eremitic] [Widow] [Virgin]
SAMPLE letter of reference
(Arch)Diocese of ______________________ Address City, State ZIP
Reference for: ___________________________________ As a Consecrated [Eremite] [Widow] [Virgin]
Note: This petitioner for Consecration has agreed that you may respond to these questions. Please be as thorough and specific as necessary as you answer as many of these questions as necessary.
1. Under what circumstances did you come to know her? How long have you known her? What is your present contact?
2. What characteristics do you observe that make her a fitting candidate for Consecrated [Eremitic Life] [Widowhood][Virginity]? 3. What is her understanding of the doctrine of the faith and of the discipline of the Church?
4. How has she shown her faith in practice? Can you attest to her way of life as virtuous? 5. What is her experience and understanding of prayer and the spiritual life? 6. Describe the quality of her relationships with people. 7. [How does she understand herself as a woman living in poverty? How does she understand herself as a women living in obedience?] How does she understand herself as a woman? How does she understand her sexuality? 8. Is she a mature, integral person? Has she demonstrated freedom and maturity in making decisions for herself?
9. How does she understand Consecrated [Eremitic Life] [Widowhood] [Virginity]? Does she understand it as a gift of Grace? Does she understand the responsibilities that this vocation entails for the rest of her life? 10. How has her call to consecrated [Eremitic Life] [Widowhood] [virginity] been tested over time? 11. How does she understand her relationship with the neighborhood/area in which she lives?
12. In your opinion, does the applicant possess sufficient age, prudence, and universally esteemed character to provide assurance of perseverance in a life of perpetual [poverty, obedience, and] chastity [in prayer and penance, silence and solitude] [dedicated to the service of the Church and of her neighbor]?
13. Other comments. . . . . Evaluator’s name:_____________________________ Address: ______________________________ City:______________________State:________________ZIP code:________ Phone : ______________________________ E-mail: _______________________________
Signature: _____________________________ Date: ________________
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