Annual Report for Deacons Over 72 "*" indicates required fields 2025 Annual ReportDeacons Over 72 Requesting Assignment For a One-Year License in the Diocese of Central FloridaPlease fill out and submit the form below to request renewal of your license to function as a deacon in the Diocese of Central Florida and/or to remain in your present tenure for up to, but not exceeding, 12 months. You are also certifying compliance with the completion of required training in the prevention of sexual misconduct against both children and adults. In addition to submitting this form, you are also required to provide a letter making your licensing request. A sample letter can be found below. Annual reports are due no later than June 30, 2025.Canon III Sec. 7. On reaching the age of seventy-two years, a Deacon shall resign from all positions of active service in this Church, and the resignation shall be accepted. The Bishop may, with the consent of the Deacon, assign a resigned Deacon to any congregation, other community of faith or ministry in another setting, for a term not to exceed twelve months, and this term may be renewed.Personal InformationFirst Name*Last Name*Date of Birth (Format - MM/DD/YYYY)* MM slash DD slash YYYY Street Address*City*State*- Select State -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFICZip Code*Home Phone*Cell Phone*Email Address* Spouse's First NameSpouse's Last NameMinistry InformationAs part of your annual report, it's essential that you schedule a meeting with your rector/vicar/priest-in-charge. This meeting serves as an opportunity to reflect on the past year's accomplishments, address any challenges encountered, and set goals for the upcoming year. Your rector/vicar/priest-in-charge may be contacted to provide feedback.Church Where You Are Currently Assigned*Deanery*Church Where You Wish to Be Licensed*Please provide a summary of your continuing education and how it was beneficial to your ministry:*Describe your ministry inside the church:*Describe your ministry outside the church:*Do you wish to discuss your assignment with the archdeacons?* Yes No Enter your full name below to serve as a digital signature. By signing this form, you certify that the information is correct and (where appropriate) are applying for a renewal of your license to function as a deacon in the Diocese of Central Florida and/or wish to remain in your present tenure. You are also certifying compliance with the completion of required training in the prevention of sexual misconduct against both children and adults.Full Name of Signatory*Sample Letter Requesting a License for up to One YearDate ______________ The Rt. Rev. Dr. Justin S. Holcomb Dear Bishop Holcomb, As I am at or beyond the age of 72, I am writing to you in accordance with Canon III Sec. 7 which requires as a deacon that I retire from active service in the Church. I am currently assigned to ______________________________. With your permission and the concurrence of the rector/vicar, I would like to continue to serve in my role as deacon for the year 20__. Thank you for your consideration. Peace, CC: Rector / Priest
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