Annual Report for Non-Parochial Priests "*" indicates required fields 2025 Annual ReportNon-Parochial Priests & Priests 72 Years of Age or Older For a One-Year License in the Diocese of Central FloridaPlease fill out and submit the form below for renewal of your license to function as a non-parochial priest in the Diocese of Central Florida and/or 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.Annual reports are due no later than June 30, 2025.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 InformationDiocese of Canonical Residence*Currently Serving (Parish/Institution/City)*Deanery*Please provide a description of your ministry (or description of causes preventing ministry):*Please select all applicable areas of interest:* Supply Work (Occasional Sunday Services) Interim Ministry (More Continuous Service) Part-Time Work in a Parish or Mission Nothing Beyond Present Responsibilities For any of the above, how many miles are you willing to travel?Which months and dates in 2025 and 2026 are you available for any of the above?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 priest 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*
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