Queen of Peace Regional 2022-2024 Spiritual Assistant Class Registration Form
Please print:
Today’s Date ___________________ Date of Birth ___________________
Legal Name _____________________________________________________________
Address _____________________________________________________________
City ________________________ State _________ Zip __________
Home phone ________________ Cell phone _______________________
Email _____________________________________________________________
Member of which branch of the Franciscan Family or religious affiliation?
_____ OFM _____ OFM Cap. _____ OFM Conv. _____ Poor Clare
_____ TOR _____ Other Franciscan religious (please specify which community) ___________________________________________________
_____ Diocesan Priest _____ Diocesan Deacon _____ Secular Franciscan
If you are a member of the Secular Franciscan Order, please answer the following:
Local fraternity _________________________________________
Local minister __________________________________________
Local Spiritual Assistant __________________________________
Friar Province your local fraternity is bonded to_______________
____________________________________________
Why do you feel you are being called to serve as a Spiritual Assistant?
____________________________________________________________
____________________________________________________________
____________________________________________________________
How are you a servant leader at this present time?
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature ________________________________________________________