Preliminary Form

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!

Step 1 of 3

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Your Name*
Prefix First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (Day)*
Phone (Night)*
Email*
Enter Email Confirm Email
Age*
Please enter a value between 0 and 110.
Are you a U.S. or Canadian Citizen?*
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 Volunteer Network (CVN). You can reach them at 1-800-543-5046 or at www.catholicvolunteernetwork.org
Religious Denomination*
Marital Status*
Number of Dependents*
Please enter a value between 0 and 10.
Ages*
Foreign Language Skills
Which Language? Level of Proficiency
Geographical Area(s) of Interest*
- Ethiopia
- Malawi
- Peru
- Guatemala
- Asia
Preferred Training Program Start Date*
- Fall 2019 (Sept. - Dec. 2019)
- Fall 2020 (Sept. - Dec. 2020)
- Fall 2021 (Sept. - Dec. 2021)

Educational Background
Are you a high school graduate?*
Which year did you graduate from high school?
Please enter a value between 1900 and 2100.
Are you a college graduate?*
College or University Name
Graduation Date
Major
Minor
Do you have a Graduate Degree or Professional Training?
Organization Name
Completion Date
Degree / Concentration
Occupational Background
Employment History (list most recent employment first)
Type of work Years Employer Name City State Zip Code

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?

Preliminary Form

Step 1 of 3

Educational Background

Occupational Background

Other Questions

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