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National Directory for the Formation, Ministry and Life of Permanent ...

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196 Visit <strong>of</strong> Consultation TeamsAPPENDIX ABackground Questionnaire <strong>for</strong>Visit <strong>of</strong> Consultation TeamBishops’ Committee <strong>for</strong> <strong>the</strong> DiaconateThis completed questionnaire should accompany <strong>the</strong> initial requestfrom a diocese when requesting a Consultation Team Visit to a localdiaconate program. A similar cover sheet accompanies <strong>the</strong> selfstudyinstrument, which is submitted prior to <strong>the</strong> visitation.Date(Arch)DioceseDiocesan (Arch)BishopAddressTelephone, FAXE-mailAddress, Telephone, FAX, E-mail <strong>of</strong> <strong>the</strong> Office <strong>of</strong> <strong>the</strong> <strong>Permanent</strong> Diaconate, ifdifferent from abovePreferred Dates Desired <strong>for</strong> visitation(1) (2) (3)Diaconate Director (s)(Title/Name)(Title/Name)(Title/Name)(Title/Name)Local Diocesan Structure <strong>for</strong> <strong>Permanent</strong> Deacons, e.g. Board, Association, etc.

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