1) Benedictines, Cistercians, Trappists, Camaldolese, and members of other monastic rules, please supply name of your abbey, abbot, and congregation as well as the names and addresses of your abbot president and father immediate.
2) Canons Regular, Friars, and members of other religious orders, please supply names and addresses of local priory or house, province, and provincial.
3) Besides the house or order you are currently associated with, have ever been a member of another abbey, priory, or religious order(s):
• If yes, please give the name and address of the abbey(s), priory(s), or religious house(s):
• Please give the years you were associated with the respective house(s), including years of first and final vows:
• If you had a religious name while a member of other religious house or order, what was it?
4) List any other seminaries you have applied to:
5) List any other seminaries you have attended and the years of attendance.
6) Have you ever been diagnosed or treated for psychosis, schizophrenia, or any other psychological or mental illness?
• If so, when? 7) Have you ever committed a public act of apostasy, heresy, or schism?
• If so, please explain
8) If you have ever been married, even civilly?
• If so, has the marriage been annulled?
• If yes, please supply the diocese and case number
9) Have you ever attempted marriage, even a civil one, while bound by an existing matrimonial bond, sacred orders, or a public perpetual vow of chastity?
10) Have you ever attempted marriage with a woman bound by a valid marriage or by a perpetual vow of chastity?
11) Have you ever committed voluntary homicide?
12) Have you ever procured an effective abortion or positively cooperated in one? 13) Have you ever seriously and maliciously mutilated yourself or another person?
14) Have you ever attempted suicide?
15) Have you ever impersonated a priest or bishop to the point of performing a sacramental act reserved to those in Holy Orders, either while you lacked that Order or while you were under a canonical penalty?