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Please
Print this Form
and send by post mail or fill it in and send by email.
Application for
Membership
Fill-in the blanks and
return to the address listed
Please print clearly
Saint Charbel, Pray for Us!
Before
filling in this Form it is necessary that you have read the RULE and
CONSTITUTIONS and thoroughly understand what you want to do. |
THE ORDER OF SAINT CHARBEL |
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P.O. Box 815
Nowra, N.S.W. 2540
Australia
Tel/Fax: +61 2 44460263
Tel/Fax: +61 2 44460832
Email: mwoa@shoal.net.au |
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Website: www.shoal.net.au/~mwoa/index.html |
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Applying for which Branch? (First, Second, Third, Fourth) |
Date of Application? and Place of Application? |
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Which Community do you want to
affiliate with? |
Date of first Promise? and Place of Promise? |
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PERSONAL INFORMATION |
CONTACT INFORMATION |
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Family Name (Surname): |
Tel 1: |
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First Name (Christian Name): |
Tel 2: |
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Address: |
Fax: |
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City/State/Postcode: |
Mobile: |
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Country: |
Email: |
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MARITAL STATUS (Married/Single/Separated/Other) |
SACRAMENTS RECEIVED (Yes/No) |
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Marital Status: |
Baptism: |
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If Married, Spouse's Name: |
First Communion: |
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Were you married in the Catholic Church? |
Confirmation: |
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Are you a Convert to the Catholic Church? |
Holy Orders: |
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CHILDREN (living with you - persons over 18 must join
separately) |
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Child Name: |
Date of Birth: |
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Child Name: |
Date of Birth: |
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Child Name: |
Date of Birth: |
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Child Name: |
Date of Birth: |
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For more Children, please fill out on reverse of this
sheet |
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OCCUPATIONS) |
Talents/Special skills |
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Your Occupation: |
Your Talents: |
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Spouse Occupation: |
Spouse Talents: |
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GENERAL HEALTH (Fill out extra sheets as necessary) |
Your Doctor |
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Do you have any serious illness? |
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Do you have any serious disability? |
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Does your Spouse have any serious illness? |
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Does your Spouse have any serious disability? |
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Do your children have any serious illness? |
Child's Name: |
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Do your children have any serious disability? |
Child's Name: |
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RELIGIOUS LIFE (previous religious vocation or transfer
from another Religious Congregation) |
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Name of Congregation: |
Vows/Promises taken: |
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Address: |
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How long a member: |
Date of departure: |
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Name of your Religious Superior: |
May we contact this Superior? |
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Reasons for leaving:
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GENERAL INFORMATION (please use additional sheets if
necessary) |
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How did you hear about the Order? |
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Reasons for desiring to join: |
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Prefer affiliation with a specific Community in your
region? |
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Is your Spouse in agreement with your joining the Order? |
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Are you financially self-sufficient? |
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Do you have any outstanding debts (please explain)? |
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ADDITIONAL REMARKS (anything you wish to add): |
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SIGNATURE AND DATE |
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Applicant:
Date:
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Spouse (if applicable):
Date:
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