2025 Canonically Resident, Non-Parochial Clergy Report

Part 1

Name(Required)
Preferred Email for Diocesan Use(Required)
Address

Part 2

Part 3

If you answer “Yes”, complete Parts 4 and 5 below. If you answer “No”, provide information below.

Part 4

During the year stated above, I was assigned to the following congregation(s) and all Ecclesiastical Acts which I performed while assigned there are recorded in that parish register:
To add multiple entries, press the “+’ button on the right side of the field. Please include the church name and location.

Part 5

Please provide the following information for each Ecclesial Act performed during the year of 2025
To add multiple entries, press the “+’ button on the right side of the fields.
Ecclesial Act
Church Name and Location
Date (Month/Year)
 

Confirming Details and Signature

I have reviewed my provided information and confirm it is correct.
Name
MM slash DD slash YYYY
Time
: