Application

If you feel you are ready to take the step and apply for admission into the Assumption BVM Province formation program, kindly fill-out the following questionnaire. This will get the process moving. Fr. Linus Kopczewski, Director of Vocations, will contact you upon receipt of this completed form.
About Yourself
Last Name
First Name
Address
Address
City
State
Zip
Telephone
Date of Birth
mm/dd/yy
E-mail
Place of Birth
City/State
About Your Family
Father's Name
 
Age Religion
Mother's Maiden Name
 
Age Religion
Brother/Sister Name
 
Age Religion
Brother/Sister Name
 
Age Religion
Brother/Sister Name
 
Age Religion
Brother/Sister Name
 
Age Religion
Brother/Sister Name

 
Age Religion
Personal Information
What was your last academic year?
Year School/College DegreeCertificate
Employment
Employer
Type of Work
No of years
Do you have any serious medical conditions?
Have you converted to the faith?
Year of conversion
Have you ever married?
Check if Yes Check if marriage was annulled. When/Where was the marriage annulled?
Does your family depend on you for support?
Yes
Have you ever been in the military?
Branch
Year of honorable discharge
Do you have outstanding debts?
Give details about debt
Vocational Information
Are you applying freely without pressure by a person or circumstance?
If Yes, check this box.
Give the number of Philosophy or Theology credits you have earned.

Philosophy Credits
Theology Credits
I wish to become
A Franciscan Priest A Franciscan Brother
Have you applied to any religious Order, community or diocese?
Give contact person, phone number for Order or dioecse.
The above answers concerning my self, family, and background are true and complete to the best of my knowledge.
Check this box if the statement to the left is true.

Your name
Date