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Application |
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Name:
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Age: |
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Address:
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Phone: ( ) |
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Date of Birth:
Place:
Driver's License Number:
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Height:
Weight:
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Education (Circle One):
High School - College - Other ___________
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Present Employment:
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Have you been a member of a religious order? If yes, please explain.
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Do you spend time in prayer & spiritual
reading: ____Daily? ____Sometimes?
____Weekly?
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Do you date?: If yes; how
frequently? _________
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Do you presently live a celibate lifestyle?: If
yes; for how long? _________
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Do you attend Mass:
____Daily? ____Sometimes? ____Every Sunday?
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Do you live with: ___ parents? ___ or
relative? ___ apartment/rented room? ___ own home?
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Emergency Contact Name & Phone Number:
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Do you have any physical impairments or chronic
illnesses?
How is your
health?
Explain:
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Do you take regularly any prescribed medicine?
Please list medicines & reason for prescription:
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Are you under the care of a psychologist?
For what reason?
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Do you require a special diet?
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Please provide at least 2 references (include names,
addresses & phone numbers)
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Please attach a recent photo of yourself .
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How long have you been thinking about the
contemplative life? Please give an explanation on the back of this
application.
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Weekend Applying For:
2008 Weekend Dates available for men ages 18-40:
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January 4-6
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March 14-16
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May 23-25
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June 6-8
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July 18-20
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August 1-3
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September 19-21
1st Choice: ______________ 2nd Choice:
______________
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Please mail application to: Mt. Carmel Hermitage,
P.O. Box 337, Christoval, Texas 76935-0337
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