2018 CLERGY DATA FORM
RANK: ☐ ARCHPRIEST ☐ PRIEST ☐ IGUMEN ☐ HIEROMONK ☐ PROTODEACON ☐ DEACON
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: Cathedral Dean, Rector, 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.