Basic Information Form

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Basic Information Form

Please use this form only if you have been requested to do so as a follow-up to an initial inquiry or if you are have been to or are newly active in a Chapter. If this is your first contact with the Maryknoll Affiliates, we would ask you to use the Initial Inquiry form.

Contact Information

First Name * Last Name * Middle Name/Initial Nickname

Street Address/PO Box:

Street Address 2:

City: State/Department:

Zip Code/Postal Code: Country:

Home Phone: Work Phone: Mobile Phone:

Email address: *

Personal Information

Marital Status Spouse/Partner

Children

Education: Occupation:

Religious Affiliation:

Additional Information

The following information will help us to know a little more about why you are interested in the Maryknoll Affiliates and what talents and treasures we have among the Maryknoll Affiliates.

A. How did you hear about the Maryknoll Affiliates?

B. What draws you to Maryknoll and the Maryknoll spirit?

C. What have been some of your significant cross-cultural experiences (overseas and domestic)?

D. Why are you interested in participating in a Maryknoll Affiliate Chapter? Which of the four pillars most attracts you and why (Spirituality, Community, Global Vision and Action)?

E. What would be your expectations of a Maryknoll Affiliate Chapter?

F. What skills, talents and interests would you bring to the Maryknoll Affiliates and to Maryknoll?

Previous Maryknoll Connections:

You only need to complete the section if you were part of a formation program or a member of one of the Maryknoll entities or if you were formally associated with another religious community/canonical institute.

Please indicate if you have ever been part of a formation program for or a member of the Maryknoll Lay Missioners, Maryknoll Sisters or the Maryknoll Fathers and Brothers or another religious institution:

If you were connected with any of the Maryknoll entities, please indicate so here. Please check all that apply and please indicate when you were in formation and when and where you were in mission.

Maryknoll Fathers and Brothers
Maryknoll Lay Missioners
Maryknoll Sisters

Years you were in formation:

Years you were in mission and where:

If you are presently or ever were with another religious community, congregation or canonical institution, please indicate so here:

Religious Community/Congregation:

Years in the Religious Community (including until now):

Thank you for submitting the Basic Information Form. This will be very helpful for our records.