Letter of Good Standing-Outgoing Deacon

Deacon Letter of Good Standing Request Form
Todays Date

MonthDayYear
Please provide the following information about yourself:
Select your name:*
*If your name is not listed in the dropdown list above, please select "Other" and manually type your name in the field provided at the bottom of this form. Your name will be added to the list when your submission is received.
Your Ordination Date:*

MonthDayYear
Street Address*
City*
State
Zip*
Your Email Address

Confirmation Email
Your Contact Number, in case of questions*
Please provide the following information about where & when you will be assisting at Mass:
Name of Parish, Conference or Event:*
Contact for the Mass Celebration or Event: (With appropriate suffix: Most Rev., Rev. Msgr., Rev., Prior , Brother, Sister.)*
Street Address of Parish, Conference or Event:*
City-State (Zip, if known) of Parish, Conference or Event*
Diocese for location above, if known. (If International, select International and see input box at bottom of form.)
Date of Event or Start Date: (Required)

MonthDayYear
End Date: (Only required if you will be traveling for a period of time and celebrating multiple Masses)

MonthDayYear
Fax Number (only if you specifically need it faxed, otherwise will go out via U.S. Mail)

Area CodePhone Number
If other deacons of the diocese should be included on the letter, please list their names:
If traveling outside of the U.S., please provide information on where to mail the Letter of Good Standing: (ie Archdiocese or Diocese)
Notes, Comments or Special Requests:
http://www.jotform.com/submissions/51674095532155
Should be Empty:

Deacon Letter of Good Standing Request Form

Please provide the following information about yourself:

Please provide the following information about where & when you will be assisting at Mass: