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1000 Pinebrook Road, Venice, FL 34285

(941) 484-9543

contactus@dioceseofvenice.org

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Diaconate Personal Data

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Address

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Wife's Name

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Diocese of Ordination

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Ordaining Bishop

Diocese of Incardination

Date of Incardination

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Rank

Number of Years Served

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Description of Prior Employment (List years, position, firm and the tasks required of the position)

Description of Prior Diaconate Ministry

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