Cistercian Abbey

Of Our Lady of Spring Bank

17304 Havenwood Rd.
Sparta, WI, 54656


                       First Name _____________________________ Middle Name _____________________

                       Last Name______________________________________________________________

                       Address Line 1 __________________________________________________________

                       Address Line 2 __________________________________________________________

                       City_____________________________  State/Province _________________________

                       Zip/Postal Code__________________  Country ________________________________

                       Telephone ______________________________________________________________

                       Mobile/Cellular __________________________________________________________

                       Fax ___________________________________________________________________

                       E-mail _________________________________________________________________

                      Web Address____________________________________________________________

                      Date of Birth___________________ Place of Birth ______________________________

 

                       FAMILY INFORMATION

                       Father

                                   Name ____________________________________________________________

                                   Address __________________________________________________________

                                   Age ______________________________________________________________

                            Religion __________________________________________________________

                            Marital Status______________________________________________________

                                   Occupation________________________________________________________

                                   Briefly describe your relationship with your father:

                                   _________________________________________________________________

                                   _________________________________________________________________

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                      Mother

                                  Name _____________________________________________________________

                                  Address ___________________________________________________________

                                  Age ______________________________________________________________

                           Religion ___________________________________________________________

                           Marital Status_______________________________________________________

                                  Occupation ________________________________________________________

                                  Briefly describe your relationship with your mother:

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

                     Brothers and Sisters Names,Cities, Ages, Occupations:

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     EDUCATIONAL BACKGROUND

                     Year of High School Graduation______________________________________________

                     School (Name/City)_______________________________________________________

                     Colleges
                     Please list any colleges or schools, dates of enrollment, studies/training
                     pursued, grade point average, degrees/certification acquired.

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     WORK BACKGROUND

                     Please list employment history beginning with the most recent, including:
                     employer, city/state, title/duties.

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     RELIGIOUS BACKGROUND

                     Date and place of Baptism__________________________________________________

                     Date and place of Confirmation______________________________________________

                     Current Parish - Name & City & Diocese________________________________________

                     Pastor's Name  ___________________________________________________________

                     Are you a convert to Catholicism?____________________________________________

                      If yes, when and where?___________________________________________________

                      Have you ever applied to or entered another religious community or diocese?


                     If yes, please list name(s) & address(es):

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

                     Have you ever been refused entry by a community or seminary?___________________

                     If yes, please give the name of the community/diocese and the reason for refusal.

                                   _________________________________________________________________

                                   _________________________________________________________________

                     Have you ever been married or attempted marriage?_____________________________

                     If yes, list when, where, and with whom.

                     If yes, was the marriage Sacramental, Civil, or Common Law?_____________________

                     If yes, has the marriage been terminated by death or civil divorce?_________________

                     If yes, has the marriage been annulled by the Roman Catholic Church?
                     (provide date and diocese, if applicable)

                                   _________________________________________________________________

                                   _________________________________________________________________

                     Please comment on your religious affiliations and activity, including:
                     other religious denominations you may have been associated with,
                     church activities or organizations, etc.

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     Do you have a regular Spiritual Director?_______________________________________

                     If yes, what is his name, diocese, religious community?

                                   _________________________________________________________________

                                   _________________________________________________________________

                     If yes, have you discussed your vocation with him?______________________________


                     HOBBIES & INTERESTS

                     Please list any hobbies or interests:

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     Please list any service or volunteer organizations you participate in:

                                   _________________________________________________________________

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     How did you learn about Our Lady of Spring Bank Cistercian Abbey?

                                   _________________________________________________________________

                                   _________________________________________________________________

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                     Briefly describe what attracts you to contemplative monastic life:

                                   _________________________________________________________________

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                     Briefly describe why you want to be a brother or a priest:

                                   _________________________________________________________________

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