LAY MINISTRY FORMATION PROGRAM

DIOCESE OF SPRINGFIELD IN ILLINOIS

INSTITUTE FOR LAY MINISTRY FORMATION

BenedictineUniversity at Springfield

ADMISSION APPLICATION

Directions: Please type or print neatly the answers to the following questions.

PART I: PERSONAL INFORMATION

Name: ______Date of Birth: ______

Address: ______

City: ______State: ______Zip Code:______

Social Security Number: ______Telephone: ( ) ______

Occupation: ______Work Phone: ( )______

Spouses Name ______Occupation: ______

E-MAIL ADDRESS: ______

Life Status: ____ Single____ Married____Widowed

____ Religious____ Clergy

If married, does your spouse support your decision to enter the Lay Ministry Formation Program?

____ Yes____ No

If NO, please explain______

______

Current Parish: ______City: ______

Diocese: ______

Pastor: ______

SACRAMENT / DATE / PLACE
BAPTISM
FIRST COMMUNION
CONFIRMATION
MARRIAGE

Were you baptized and raised a Catholic from birth? ____ Yes___ No

If no, when and where did you become Catholic?

______

Previous Parishes and dates:

______

______

______

Do you have any handicaps or difficulties that we should be aware of or make arrangements for? (If yes, please explain)

PART II: EDUCATION

EDUCATIONAL HISTORY

SCHOOL

/

PLACE

/

DATES

Grade School
High School
College
Degree Received:
GraduateSchool
Degree Received:

Special Training (Include recent workshops/retreat/courses, etc.

What ministries/activities have you or are you currently participating in at your parish/instituion?

______

______

______

______

PART III: REFLECTION QUESTIONS (add additional pages if needed)

I am interest in developing my understanding of ministry and my skills in ministry because:

My experience in Post Vatican II Church ministry includes:

What do you see happening to yourself as a result of being involved in the Lay Ministry Formation Program?

Do you feel supported and encouraged by your parish leadership in your current ministry?

Signature: ______Date: ______

The most convenienet time for me to have an interview would be:

Weekday? Yes ___ No ___Weekend? Yes ___ No ___

Please attach a current photo of yourself to the application.

PLEASE NOTE THAT APPLICATIONS CANNOT BE PROCESSED UNTIL ALL MATERIALS HAVE BEEN RECEIVED BY THE OFFICE FOR MINISTRY FROMATION. MAKE SURE YOUR PASTOR/DIRECTOR RECOMMENDATION FORM HAS BEEN GIVEN TO THE PROPER PERSON. PLEASE RETURN THIS APPLICATION WITH A $25.00 NON-REFUNDABLE TUITION DEPOSIT (checks made payable to: OFFICE FOR MINISTRY FORMATION and send to:

Monsignor David S. Lantz, Director

Office for Ministry Formation

CatholicPastoralCenter

1615 West Washington Street

Springfield, Illinois62708

PASTOR/INSTITUTION RECOMMENDATION

CandidatesName: ______

Please answer all questions as honestly and completely as possible. Your input about the candidate is a very important aspect of the acceptance process.

1. I recommend the candidate for the following reasons: (be specific)

2. I have the following reservations about this candidate:

3. In what way(s) has the candidate been actively involved in the life of the parish/institution: (be specific as to what and how long)

4. What personal qualities does this candidate have for serving people?

5. Other comments:

STATEMENT OF RECOMMENDATION

I hereby recommend and support this candidate for the Lay Minsitry Formation Program of the Diocese and the Institute for Lay Ministry Formation, SpringfieldCollege in Illinois.

Signature: ______

Address: ______

Date:______

Please forward this recommendation form to:

Monsignor David S. Lantz

Director, Office for Ministry Formation

Catholic PastorCenter

1615 West Washington P. O. Box 3187

Springfield, Illinois62708-3187