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Cistercian Abbey
Of Our Lady of Spring Bank
17304 Havenwood Rd.
Sparta, WI, 54656
First Name _____________________________
Middle Name _____________________
Last Name______________________________________________________________
Address Line 1
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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:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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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.
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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)
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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?
_________________________________________________________________
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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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