2018 DATA FORM

RANK: ☐ ☐ PRIEST ☐ IGUMEN ☐ HIEROMONK ☐ PROTODEACON ☐

LAST NAME / FIRST NAME: ______

MAILING ADDRESS: EMAIL ADDRESS:

______

______

CELL PHONE: HOME PHONE: OFFICE PHONE: ______

My Personal Day Is: ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday

RESIDENT Parish Name, Location and Status: (i.e., St. Nicholas Church, Eklutna, Priest-in-charge) ______(Possible Status: , , Acting Rector, Priest-in-Charge)

* Are you ASSIGNED or ATTACHED to your RESIDENT parish? ______

Do You Have Other Parish Assignments? ☐ Yes ☐ No If, Yes, Please List Name and Location

______

______

______

Who Is Your Dean? ______

Are You a Dean? ☐ Yes ☐ No (If you answer “No,” please continue to back of page)

If Yes, What Deanery? ______

List Name and Location of Your Deanery Parishes:

______

______

______

______

(Continue on Back Page) 2018 Parish Contact Information

YOUR NAME: ______

It is important and necessary that the Chancery knows who your lay contact is in each of your parishes so the Diocese can send out mail even when the priest is not there. Also, if another priest is asked to travel to one of your parishes, they must know who, and how, to reach him/her.

PARISH NAME AND LOCATION: ______

LAY CONTACT NAME & MAILING ADDRESS: EMAIL: ______

______CELL PHONE: ______

______HOME PHONE: ______

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PARISH NAME AND LOCATION: ______

LAY CONTACT NAME & MAILING ADDRESS: EMAIL: ______

______CELL PHONE: ______

______HOME PHONE: ______

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PARISH NAME AND LOCATION: ______

LAY CONTACT NAME & MAILING ADDRESS: EMAIL: ______

______CELL PHONE: ______

______HOME PHONE: ______

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PARISH NAME AND LOCATION: ______

LAY CONTACT NAME & MAILING ADDRESS: EMAIL: ______

______CELL PHONE: ______

______HOME PHONE: ______

Please use additional paper if you have more parishes to list.