Consecrated Virginity

IN THE CATHOLIC CHURCH

Becoming a "Consecrated Virgin"

PREPARATION

CONSECRATION OF A VIRGIN FOR A WOMAN LIVING IN THE WORLD

According to Canon 604

Application Form

(sample)

To________________________________________

(Bishop of the Diocese)

I, ________________________ (name), of ________________(city), ________________(state), desiring to begin formal preparation to receive the Consecration of a Virgin for a Woman Living in the World, according to Canon 604, make this petition to be considered for such Consecration. I understand that a period of preparation must precede this sacramental, and I offer my cooperation in such a process.

Signature:____________________________________

Dated: ____________________________________

Personal Information:

Name: _________________________________________

Address:_________________________________________

City: _________________ State:___________ ZIP:_________

Phone: _________________

Place and Date of birth:__________________________________

Place and Date of Baptism:_______________________________

Place and Date of First Holy Communion:___________________

Place and Date of Confirmation:___________________________

References: (Please list three. By listing their names below, you are agreeing that they may answer questions about you and how they know you. Please do not list your spiritual director as one of these references.)

Name: ______________________________________

Address:_____________________________________

Name: ______________________________________

Address:_____________________________________

Name: ______________________________________

Address:_____________________________________

Please list the name and address of your pastor, who will be asked to be a reference for you.

Name: _______________________________________

Address:______________________________________

Please list the name and address of your spiritual director, who will be asked only if you have been receiving consistent spiritual direction.

Name: ______________________________________

Address:_____________________________________

1. Have you ever been a member of a religious institute or other form of the consecrated life, or have you applied to another diocese for the consecration of virgins living in the world? If yes, please explain.

2. Have you ever been married?

3. Have you ever lived in open violation of chastity?

Documentation:

Please attach proofs of Baptism (current copy of Baptismal Certificate), First Holy Communion, Confirmation, and citizenship.

Because the (Arch)Diocese of _______________ is not responsible for the financial care of consecrated virgins, please indicate your means of financial independence:

1. What is your current means of income?

2. Is it adequate to support you?

3. How are your providing for your retirement?

4. What health insurance provisions do you have?

5. Additional comments on your financial status if desired.

Please attach a personal life history, indicating your reasons for seeking the Consecration of a Virgin for a Woman Living in the World.

Please list below education and work experience, both salaried and volunteer, and indicate approximate dates. Attach a separate sheet if necessary.

_______________________ _______________________

_______________________ _______________________

_______________________ _______________________

_______________________ _______________________

_______________________ _______________________

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©2004-2008 by the United States Association of Consecrated Virgins. All rights reserved. The USACV provides this information service under the authority of the United States Conference of Catholic Bishops.