Diocese of Western Louisiana


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Diocese of Western Louisiana* The Very Rev. Ronald H. Clingenpeel Transitions Consultant [email protected] Name: Email: Telephone: Diocese of Canonical Residence: Seminary:

Degree to be conferred:

Has your bishop given you permission to interview with another diocese? Yes: _____

Date: No: _____

When do you expect to be ordained to the transitional diaconate? When do you expect to be ordained to the priesthood? How long have you been an Episcopalian? (years) What is the size of the parish that sponsored you for seminary? Family Pastoral Transitional Program Resource Do you have experience in other sized congregations? If yes, please explain.

Please itemize ministries in which you participated before going to seminary:

Please itemize ministries in which you have participated since coming to seminary:

Have you ever held appointed office in the Episcopal Church? If yes, what? (parish, diocesan, national)

Have you ever held elected office in the Episcopal Church? If yes, what? (parish, diocesan, national)

Generally, at what date might you be available for placement? (No one is holding anyone to this date at this time, so this just aids our planning)

In five sentences (or less) where and to what kind of ministry do you believe God is calling?

Please give us the contact information for your field work, including the priest who had charge, (email, telephone and land address).

*Please attach a one-page resume to this document. Please send all documents electronically to the email address above. Please send documents at least one week prior to the interview. Please attach your current OTM Portfolio to this document. If you have not filled out this form, please do so within three weeks following your interview. You do not have to complete it before the interview. Know that unless you tell us otherwise, we will contact your sponsoring bishop (after you have had an interview with the Diocese of Western Louisiana representative).