Clergy Request Clergy Request The Roman Catholic Diocese of Rochester Clergy Request for Letter of Suitability Form Travel Information/ Particular Location of Ministry Name of the (Arch) Bishop * (Arch) Diocese of Destination * Mailing/Physical Address * City * State * Zip * Email of (Arch) Diocese ... Name of Parish/Church/Event * Parish/Church/Event Address * Street * City * State * Name of Pastor * Email of Pastor or Parish * Purpose of Visit * Baptism, Marriage, Funeral, Retreat, Conference, etc. If the purpose of the visit is for a specific person/s, please list the name/s of the parties. Name / Names Duties and Responsibilities Celebrate, Concelebrate, Assistance, Vacation, Presenter, etc. Other Comments Actual Date of Event Date of Arrival (MM/DD/YYYY) Date of Departure (MM/DD/YYYY) Name Email Personal Information: Name of person submitting form * Email * Phone * Captcha Submit If you are human, leave this field blank.
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