Diaconate Inquiry Form

Last Name:(*)

Invalid Input

First Name:(*)

Invalid Input

Date of Birth:(*)

Invalid Input

Current Age:(*)

Invalid Input

Are you married?(*)

Yes, I am marriedNo, I am not married Invalid Input

Wife's Last Name:(*)

Invalid Input

Wife's First Name:(*)

Invalid Input

Any previous marriages:(*)

YesNo Invalid Input

Number of Children:

Invalid Input

Street Address(*)

Invalid Input

City:(*)

Invalid Input

State:(*)

Invalid Input

Zip Code:(*)

Invalid Input

Cell Phone:(*)

Invalid Input

Home Phone:

Invalid Input

Email:(*)

Invalid Input

Parish:

Invalid Input

Pastor's Name:

Invalid Input

Languages spoken other than English:

Invalid Input

Are you a legal US resident?(*)

YesNo Invalid Input

Education Level:

Invalid Input

In just a few words, tell us why you are exploring the dioconate:

Invalid Input

Roman Catholic
Diocese of Ogdensburg

PHYSICAL ADDRESS

MAILING ADDRESS

CONTACT

SOCIAL MEDIA

HOURS