Ministry Clearance Request Form For Visiting Religious Please enable JavaScript in your browser to complete this form.Speaker/Presenter Information:Name *Religious Order:Order InitialsDiocese of Residence:Superior/Provincial:Phone:Fax:Superior Email Address: *Chancellor of Diocese:Chancellor Address:Chancellor PhoneType of Ministry(e.g., speaker, musician, support person, etc.)Event Information:Title:Date(s):Location:Will the presenter have access to youth or vulnerable adults? If yes, then describe interaction:YesNoIn the case of speakers, please attach background information (curriculum vitae) and samples from printed publications and websites that relate to the topic on which the person will speak.Youth Interaction Description:Host Contact Information (Requester):Name: *Title/Occupation:Parish/Organization:Address:Email *Phone:Fax:Submit Request
