Completing this form will provide us with some initial information on your motivation, background and experience. This will help us to know you better before beginning the formal application process. We look forward to hearing from you!
Personal Information:
Full Name: Mr. Mrs. Ms. Miss
Street or P.O. Box Number:
City: State: Zip:
Phone (Day): Phone (Night): E-Mail: Age:
Are you a U.S. or Canadian Citizen? Yes No You are required to be a U.S. or Canadian citizen in order to be a member of the Comboni Lay Missionaries of North America. If you are not a Canadian or U.S. citizen, we encourage you to check out other volunteer opportunities listed in the Response booklet published by the Catholic Network of Volunteer Services (CNVS). You can reach them at 1-800-543-5046 or at www.cnvs.org
Religious Denomination:
Marital Status: Single Engaged Married Separated Divorced Widowed No. of dependents: Ages:
Foreign Language Skills: Which Language: Level Excellent Good Fair Which Language: Level Excellent Good Fair
Geographical Area(s) of Interest:
Preferred Training Program Start Date:
Educational Background:
Are you a high school graduate? Yes No If yes, what year?
College or University:
Name: Date: Major: Minor:
Graduate or Professional Training:
Name: Date: Degree: Concentration:
Occupational Background: (List most recent employment)
Type of Work: Years:
Employer: City: State: Zip:
Other Questions:
List or briefly describe your recent church and volunteer involvement.
List or briefly describe any overseas travel or living experiences.
List or briefly describe any special skills.
Briefly describe why you are interested in serving with the Comboni Lay Missionary Program.
How did you hear about the Comboni Lay Missionary Program?
What questions do you have for us?
