Foundational Formation Application - Eastern/Central Time Zone Cohort

Application for CPMC Foundational Formation Cohort – Eastern & Central Time Zone

This application is for CPMC’s Foundational Formation Cohort led by Fr. Gary Rottman & Dr. Harry Dudley. The cohort will take place every other Wednesday from Sept 7th – Nov 16th from 6-7pm (CT)/7-8pm (ET). Applications will be reviewed, and you will be contacted by CPMC regarding the status of your application. The cohort size needs to be at least 10 participants, but will be limited to 15 participants. No fee is required until you are accepted in the program.

Name(Required)

Prefix First Last Suffix

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Home Diocese(Required)

Enter the Roman Catholic diocese where you reside.

Location of Ministry(Required)

Particular Focus of Ministry

Current Involvement in Ministry(Required)

Please describe your current involvement in prison ministry or your involvement in re-entry and family outreach ministry.

Description of Training and Educational Opportunities(Required)

Briefly describe any training and educational opportunities you have in prison-related ministry.

Description of Your Call to Ministry(Required)

Describe your call to prison ministry and your understanding of that ministry (no more than 2 pages / 1100 words). You may type your description below, or, if you prefer to upload a document, enter the word “Uploaded” in the text box and then upload your file in the appropriate section below.

Your Call to Ministry (Document Upload Option)

Max. file size: 256 MB.

Upload your document describing your call to prison ministry and your understanding of that ministry (no more than 2 pages / 1100 words). Use this option if you did NOT write out your description in the “Your Call to Ministry” section above. Please use 12-point font for readability.

What do you hope to learn?(Required)

Describe what you hope to learn from this program.

Have you completed your diocese’s required Child Protection Training?(Required)

Yes

Have you had a background check done by the institution where you are serving or intend to serve?*(Required)

Yes

Have you had a background check done by the diocese?*(Required)

Yes

Application for CPMC Foundational Formation Cohort – Eastern & Central Time Zone

Please partner with us in our mission to promote ministry to all those affected by incarceration.

Our sincere gratitude to the following foundations whose generous support made CPMC’s initial meetings and this website possible:

ACTA Foundation, RASKOB Foundation and an Anonymous Foundation.