Application St Mary de Castro

							                                                              CONFIDENTIAL



                           APPLICATION FORM


                    St MARY DE CASTRO, LEICESTER
                         House for Duty Priest

              Please submit this form together with a current CV


Surname                                         Former
                                                Surname


Christian                                       Date of
Names                                           Birth


Address




Telephone                                       Fax


Email


Ordained Deacon in the Diocese of                                    Year


Ordained Priest in the Diocese of                                    Year

Present appointment




Theological College (please give dates and qualification obtained with class if
degree)
Other higher education and professional qualifications. Please give dates
obtained with class if degree.




Career before ordination




Posts held since ordination
Responsibilities in the wider Church and community (e.g. synodical
responsibilities, diocesan boards and committees, ecumenical involvements,
school governorships)




Churchmanship tradition




Liturgical preferences and requirements




Publications




Other areas of interest, hobbies or recreations
Marital Status:




Health: Please mention any disability or health problem of you or a member
of your immediate family which affects, or may in future affect, your field of
work.




Referees
  1.                                  2.




Are your papers available from the Clergy Appointments Adviser?
Yes/No


Name of your present
Diocesan or Area Bishop



A confidential reference will be requested from your diocesan or area bishop
in addition to other references.
Please state your reasons for applying for this post.




Signature ………………………………… Date ………………………………..


Closing date for applications:           Thursday 18th February 2011
Shortlisting:                            Friday 25th February 2011
Interviews:                              Tuesday 15th March 2011

Please return this form together with a current CV to:

  Mrs Wendy Dunnington
  Secretary to the Archdeacon of Leicester
  St Martins House
  7 Peacock Lane
  Leicester
  LE1 5FX

  Email: wendy.dunnington@leccofe.org