Holy Apostles College and Seminary

33 PROSPECT HILL ROAD, CROMWELL, CT 06416-2027 – PHONE: 860.632.3010

APPLICATION FOR ADMISSION TO SEMINARY DIVISION

LAST NAME FIRST NAME DATE OF APPLICATION

I am applying to begin studies in the

Fall Spring of Year:

Please attach a
passport size photo
here

I wish to apply for admission to the following program:

____College Seminary Program (if you haven’t completed College)
____Pre-Theology (if you have completed College but do not have 24 credits in Philosophy)
____Theology (if you have completed College and have 24 credits in Philosophy)
____Certificate Program (permission may be given in certain individual cases for older men to
enter Pre-Theology before completing the undergraduate program)

DOCUMENTATION REQUIRED:
______ a) A psychological evaluation given by the psychologist who does the testing of candidates to
the priesthood for the diocese where you live.
______ b) This completed application form, (including autobiographies and essays), with photo attached
and $50.00 non-refundable fee payable to Holy Apostles Seminary.
______ c) Official baptismal certificate, dated within six months of this application, and bearing the seal
of the Church of baptism.
______ d) Official confirmation certificate, with seal of the Church where conferred. (If at the same
Church as baptism, this may be recorded directly on the baptismal certificate.)
______ e) Letter(s) of evaluation from the rector(s) of any seminaries previously attended, and from the
proper authority of any diocese or religious community with which you have been associated.
______ f) Official transcripts of all post-Secondary education, issued directly to the Seminary from each
school. Send a high school transcript only if you have not attended college.
______ g) Proof of Urine Drug Testing and HIV screening, plus completed health and immunization forms.
______ h) A statement from a licensed physician, dated within six months of application, attesting that
you are free of contagious disease and in adequate health to undertake seminary studies.
______ i) Names of three references who are not family members. These must include your pastor,
religious superior or vocation director, and at least one other priest.

Previously married applicants must be canonically free to study for the priesthood:
______ j) If widowed, please include a copy of your marriage certificate and wife’s death certificate.
______ k) A list of all children including their names, dates of birth and current addresses.
______ l) The seminary will consider candidates with marriage annulments only if they are sponsored
by a bishop or religious community. The candidate must request official documentation of
the annulment to be sent directly to the Rector from the Tribunal.

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Please type or print clearly all information.

Personal Information

Name:__________________________________________________________________
Last First Middle
Any other name by which you have been known: _______________________________

Date of Birth:_____________________Place of Birth:___________________________

Present Address:_________________________________________________________
Number Street Apt. #
_______________________________________________________________________
City State Zip Code
How long have you lived at this address?_______________________________________

With whom do you currently live?____________________________________________

Telephone Numbers:_______________________________________________________
Home Cell Work

Social Security #_______________________ Driver’s license #____________________

U.S. citizen?______ If not, of what country are you a citizen?______________________

Passport #______________________ Place issued:_______________ Expires:_______

Immigration status:_______________________________________________________

Are you a permanent resident of the U.S.?______________________________________

Are you a convert?_____yes _____no If yes, year received into the Church__________

Previous religious affiliation:________________________________________________

Are you registered with the Selective Service?__________________________________

Military service/Branch:_____________ Date of discharge: ______________________

Type of discharge:__________________ Reserve status:________________________

Have you ever been arrested?_________ If so, charges:__________________________

Age at time of arrest:_________ Disposition:__________________________________

Do you give your consent to the initiative of the Seminary to conduct State and Federal
Criminal History Checks and a Sex Offender and Crimes Against Minors Search?
Yes____________________ No ___________________
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Occupational History:

Excluding your current or most recent employer, list chronologically, (starting with the
most recent) the last five full or part time jobs you have held. Give employer, location,
dates employed, type of work, and reason for leaving.
Employer/Type of Work City/State Date Reason for Leaving

1.______________________________________________________________________

2.______________________________________________________________________

3.______________________________________________________________________

4.______________________________________________________________________

5.______________________________________________________________________

Present or most recent job:

Name of employer:________________________________________________________

Address:________________________________________________________________

May we contact your present employer?________________

Job Title:_____________________________________Duration:___________________

Duties:__________________________________________________________________

________________________________________________________________________

Have you ever been fired from a job? If yes, indicate why:_________________________

________________________________________________________________________

List any professional organizations to which you belong:__________________________

________________________________________________________________________

List civic, social or service organizations to which you belong, and your roles in each:

________________________________________________________________________

________________________________________________________________________

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Please provide two emergency contacts:

1.______________________________________________________________________
Name Relationship to you

_______________________________________________________________________
Address Telephone number

2.______________________________________________________________________
Name Relationship to you

_______________________________________________________________________
Address Telephone number

Marital Status:

Have you ever been engaged? ________ Have you ever been married? _____________

Widowed? (year)_____________ Divorced? (year)_____________

If divorced, do you have an annulment?___________ Date of Decree:______________

Which Tribunal__________________________________________________________

Do you have children?_______ Please provide their names, dates of birth and addresses:
Name Date of Birth Address

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Finances:

Is anyone financially dependent on you? If yes, please explain:____________________

________________________________________________________________________

________________________________________________________________________

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What debts or financial obligations do you have now?____________________________

________________________________________________________________________

How do you plan to pay for your college expenses?______________________________

________________________________________________________________________

Family Background:

___________________________________
Father’s name
___________________________________
Occupation
___________________________________
Religion
Living___________Deceased___________
__________________________________
Mother’s maiden name
__________________________________
Occupation
__________________________________
Religion
Living____________Deceased_________

If deceased, year of death:_____________ If deceased, year of death:_____________

If living: If living:
Address____________________________ Address____________________________

___________________________________ __________________________________

Phone:_____________________________ Phone:____________________________

Parents’ marital status:_____________________________________________________

If divorced, has either parent remarried? _____ Yes _____ No

Stepfather’s complete name:________________________________________________

Stepmother’s complete name:_______________________________________________

If not by your parents, by whom were you raised?________________________________

________________________________________________________________________

Number of Siblings: Brothers:_____ Sisters:_____ Your place in birth order? ________

Briefly describe your life as a child and the quality of the relationships in your family:
(e.g. between parents and children and between siblings)

_______________________________________________________________________

________________________________________________________________________

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_______________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Education:

Do you have a high school diploma or a GED? Diploma__________ GED___________

Please list all schools attended beginning with high school to the present time:
School or Seminary City and State Years Attended Degree

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please have official transcripts forwarded to the Rector directly from all post-secondary
institutions that you have attended.

Did you have any academic problems in school? How would you describe yourself as a
student?_________________________________________________________________

________________________________________________________________________

List any awards, honors, or class offices held:___________________________________

________________________________________________________________________

List any skills or areas of education in which you have special training or qualifications:

________________________________________________________________________

Can you read, write or speak any foreign languages? If so, please indicate language and
level of proficiency: _______________________________________________________

________________________________________________________________________

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Were you ever dismissed from any school?_______ If so, reason for dismissal_________

________________________________________________________________________

Health History:

What illnesses or accidents did you have growing up?

_______________________________________________________________________

_______________________________________________________________________

Have you ever had any serious illnesses, accidents, allergies, surgeries or physical
limitations? If yes, please describe in detail____________________________________

________________________________________________________________________

________________________________________________________________________

Do you exercise?__________ How often?_____________

What type of exercise do you do?_____________________________________________

Do you smoke? ___________ Amount per day__________________

Do you drink? ___________ Amount per day/week/month________

Do you have a history of or ever been treated for alcoholism? ______________________

________________________________________________________________________

Do you have any past or current health concerns, such as weight problems, insomnia,
headaches, digestive problems, or chronic illness such as diabetes, heart condition, etc?

________________________________________________________________________

________________________________________________________________________

Please list all medications you currently take and what they are for__________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

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Have you ever used illegal drugs? If so, list each drug noting your age at time of use,
range of use and frequency of use_____________________________________________

________________________________________________________________________

________________________________________________________________________

Is there any history of mental illness in your family? If yes, please give details:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Have you ever been under psychological or psychiatric care? If yes, describe in detail:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Have you ever been the subject of physical or sexual abuse? If yes, please give details:

________________________________________________________________________

________________________________________________________________________

Medical Insurance:

Do you presently have medical insurance? Yes____________ No_____________

Who is financially responsible for the premium?_________________________________

How long will this coverage be available to you? ________________________________

Parish/Sacramental Background:

Current parish____________________ Pastor___________________________________

________________________________________________________________________
Address Telephone number

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Sacraments of Initiation: (include a sealed Certificate of Baptism issued within last 6 months.
If date of Confirmation is not noted on the back of baptismal certificate, please include a
Certificate of Confirmation. Photocopies are not acceptable.)

Baptism: Date:__________ Parish:___________________City/State:_______________________

First Communion: Date:__________ Parish:___________________City/State:_______________________

Confirmation: Date:__________ Parish:___________________City/State:_______________________

Have you previously been affiliated with any other parish?________ If so, please list and
give dates of membership:

________________________________________________________________________
Parish City/State
________________________________________________________________________
Pastor Date
________________________________________________________________________
Parish City/State
________________________________________________________________________
Pastor Date
________________________________________________________________________
Parish City/State
________________________________________________________________________
Pastor Date

If you did not attend Catholic schools, please indicate the extent of your religious

education: _______________________________________________________________

________________________________________________________________________

Describe your involvement in your parish:______________________________________

________________________________________________________________________

________________________________________________________________________

How old were you when you first thought of becoming a priest?____________________

Discuss your interest in the priesthood:________________________________________

________________________________________________________________________

________________________________________________________________________

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What prompted you to seek entrance into the seminary?___________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Does your family support your vocation?_______________________________________

________________________________________________________________________

Are you sponsored by a Diocese or Religious Community? _______________________

If so, which Diocese or Religious Community?__________________________________

Name
________________________________________________________________________
Address Phone
Who is your Superior/Vocation Director?______________________________________

Did you ever apply for sponsorship as a seminarian in a diocese? Yes______ No______

Please list all Dioceses you have previously been affiliated with:
Diocese Date applied Accepted?
________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Why did you discontinue studying for that diocese?

________________________________________________________________________

________________________________________________________________________

_______________________________________________________________________

Have you previously studied at another seminary?_____________ If so, which one(s)?

(Please provide a letter of recommendation from the Rector of each seminary attended.)

________________________________________________________________________
Name and address of seminary
________________________________________________________________________
Name and address of seminary

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Did you ever apply for membership in a religious community?

Name Date Accepted?

______________________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Why did you discontinue formation in that community?___________________________

________________________________________________________________________

________________________________________________________________________

Autobiography:

Please forward to the Rector’s Office a (3-4) page, single spaced, typewritten
autobiography which highlights the following:
* Your Family Life * Relationships outside of family
* School and Work experiences * Major satisfactions and problems experienced
* Prayer and faith experiences * Your vocational discernment up to the present

Essays:

Please forward to the Rector’s Office two (2-4) page, single spaced typewritten essays
answering the following two questions.

1. “What does the priesthood mean to me?”

2. Discuss your concept of celibacy and what makes you confident that you can live it.

References:

Please list three references who are not family members, two from priests if possible.
One reference should be your pastor, religious superior, or vocation director.

________________________________________________________________________
Name Address Phone
________________________________________________________________________
Name Address Phone
________________________________________________________________________
Name Address Phone

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APPENDIX A: CANONICAL STATUS
(Depending on the actual circumstances, the following may apply as impediments to ordination which
require dispensation. If needed, please seek clarification from your spiritual director or the Rector prior to
answering this section.)

a. Severe Mental Illness (c. 104.1) Have you ever committed yourself
or been committed to a psychiatric facility? Yes____No____

b. Apostasy, Heresy or Schism (c.1041.2) Have you ever publicly

abandoned the Catholic Church? Have you ever publicly advocated any
views contrary to the teaching of the Catholic Church or ever joined another
religious body by a formal, public act? Yes____No____

c. Bond of Marriage (c. 1041.3) Have you ever been married civilly or in
a religious ceremony? Yes____No_____

d. Private or Public Religious Vows (c.1041.3) If yes, present document

demonstrating release or dismissal. Yes____No_____

e. Voluntary Homicide or Abortion (c.1041.4) Have you ever been

involved in the taking of another human life? Have you helped someone
procure an abortion, performed the abortion or cooperated in obtaining
an abortion for another person? Yes____No_____

f. Suicide, Self-Mutilation (c.1041.5) Have you ever attempted suicide,

or seriously and maliciously mutilated yourself or others ? Yes____No_____

g. Performed an act that is reserved to bishops or priests (c. 1041.6)

Have you ever impersonated a priest or bishop presiding at the
Eucharist, granting absolution for sins, and/or administering the
sacrament of the anointing of the sick? Yes____No_____

h. Excommunication Have you ever been excommunicated from the

Church? If yes, attach documentation indicating this fact. Yes____No_____

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APPENDIX C: CERTIFICATION AND AUTHORIZATION FOR RELEASE OF
CONFIDENTIAL INFORMATION

I, ________________________________________________________________
(Print Full Legal Name)

applicant for the priestly formation program of Holy Apostles Seminary, certify that the
information provided on my application form and the additional application materials are,
to the best of my knowledge, true and complete and may be verified by Holy Apostles
Seminary. I understand that my application materials include, but are not limited to,
confidential information such as prior or current: employment records; judicial records;
criminal and sex offender background records (including fingerprints), financial records;
medical records (including personal physician’s physical exam, H.I.V. test results);
mental health records (including psychological test results); educational
records (including transcripts); records from (arch)diocese(s) or religious order(s) with
whom I have previously made application to, or been accepted by; letters of
recommendation, and any other information pertinent to matters addressed in this
application form whether this information is provided by me or is received from another
source. I further understand that the submitted materials become the property of Holy
Apostles Seminary and will not be returned to me.

I hereby authorize Holy Apostles Seminary (including but not limited to the
Rector, the Director of the Office of Vocations and their delegates) to have access to and
use any and all of my application and application materials. I understand the purpose of
the application and application materials is to evaluate my fitness for the priestly
formation program and for possible ordination to the priesthood. This application is
submitted in an effort to assist the Rector in acting on behalf of the good of the entire
Church.

I further release Holy Apostles Seminary, its employees, volunteers, agents, and
all those who receive my application or application materials hereunder from any and all
liability arising from, or relating to, their use of such application and application
materials.

Finally, I swear that there is nothing in my past or current behavior that would
render me a danger to minor children or others with reference to physical or sexual
abuse/exploitation by me. I make this statement as a part of my application for
acceptance into the priestly formation program for Holy Apostles Seminary.

_______________________________________________________________________
Signature of Applicant (as witnessed by Public Notary) Date

_______________________________________________________________________
Signature of Notary Public Date

My Commission Expires___________________________________________________________________________

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Please forward this application and all other application material to:

OFFICE OF THE RECTOR

HOLY APOSTLES COLLEGE & SEMINARY
33 PROSPECT HILL ROAD
CROMWELL, CT 06416

(860) 632-3010

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