Continuing Formation Report

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This is an interactive form which means you can type your information into the form and hit the submit button on page 2 which will attach the document along with your information and send it directly to Deacon Mark Machuga.

DIACONATE - CONTINUING FORMATION ANNUAL REPORT

Name*
First Last
Email*
Enter Email Confirm Email
Home Address*
Street Address City State ZIP Code
Home Phone
Mobile Phone
Reporting Year:*
1. Retreat(s) attended during the year (dates and locations)
Retreat Date Location
2. Day(s) of Recollection and other Spiritual Programs (dates and locations)
Day of Recollection Date Location
3. Spiritual Direction (name of spiritual director and frequency of meetings):
4. Continuing Education Courses/Seminars/Study Days, reading etc. (Include title/description, dates, locations, clock hours, etc.):
Education Courses/Study Days:
Seminars, Conferences, etc:
Books:
5. Number of Regional Meetings attended during the year:
6. Support Groups:*
- Yes
- No
If yes, indicate frequency of attendance:
7. Do you want to be contacted by the Director of the Diaconate Office:*
- Yes
- No
8. Comments:

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Retreat	Date	Location

Day of Recollection	Date	Location

Continuing formation Report

DIACONATE - CONTINUING FORMATION ANNUAL REPORT

4. Continuing Education Courses/Seminars/Study Days, reading etc. (Include title/description, dates, locations, clock hours, etc.):