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Interest Form for Initial Discernment

- If you would like to take the first steps in understanding your calling and the options for applying to be a seminarian for the Roman Catholic Diocese of Portland, please fill out the following form.
- This form is not accepting responses at this time.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Home Address
  
  Street Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  How long have you lived at the above address? Please enter valid data.
  
  Mailing Address, if different than home address
  
  Street Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  I want to receive communications from the office of vocations regarding discernment tools and information of future discernment events.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birthplace Please enter valid data.
  
  List any other nickname or aliases by which you were ever known (if applicable) and dates Please enter valid data.
  
  Current Home Diocese and Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Pastor/Administrator REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Address
  
  Street Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Parish Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Are you registered in this parish? Yes No
  
  If no, explain why not Please enter valid data.
  
  If under 18, please include a parent or guardian email address Please enter an email address.
  
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