Initial Application
for Priestly Support

Note: The information provided below is solely for reference by the Coalition for Canceled Priests to assess your request. It will be treated confidentially. Written authorization is required by CFCP to divulge any details of a beneficiary’s case, and vice versa for the beneficiary to share details of any CFCP support which may be provided.

Enter Your Contact Information

Title

First Name

Last Name

Address

Phone

Describe Your Situation & Needs

Date of Ordination

Place of Ordination

Why the Bishop / Superior Canceled (or seeks to cancel) You?

Status of Your Case with the Chancery / Order

Current personal situation and challenges underpinning your request for CFCP support

Support Requested of the CFCP

Select one or more of the following types of support and briefly describe what is needed. Include the timeframe and whether it is one-time or recurring (indicate when it should start and how long until the most critical aspect is addressed, as CFCP support is not indefinite)

SPIRITUAL

Prayers - Mass Intentions; Rosary Intentions; Fasting Intentions; Public Prayer Rallies at a Requested Location (e.g. Chancery, Parish).

Prayer Request Additional Info Area

Guidance - Discernment with a Spiritual Advisor.

Guidance Request Additional Info Area

TEMPORAL

Housing – Temporary Living Quarters; Rental Assistance; Essential Repairs (including medically-necessitated alterations) to Current Housing.

Housing Request Additional Info Area

Transportation – Moving to a New Location, Transit to Critical Upcoming Meetings (e.g. for a hearing, appointment), Regular Journeys to a Needed Location, Essential Repairs to a Vehicle.

Transportation Request Additional Info Area

Medical –Assistance Paying Physical or Mental Health Bills.

Medical Request Additional Info Area

Legal – Assistance Paying for Legal Advisement by a Canon and/or Civil Lawyer.

Legal Request Additional Info Area

Outreach – Opportunities to Raise Awareness Through CFCP-facilitated Speaking Engagements, Letter Writing Campaigns, Website Postings, Social Media, Etc.

Outreach Additional Info Area

Other – Additional Requests Will be Considered on a Case-By-Case Basis.

Other Additional Info Area

References

References will only be contacted by CFCP's Priestly Assistance Coordinator following initial due diligence evaluation and after receiving your approval to proceed with contacting them

Lay Faithful Catholic (non-family member of the applicant) #1: Name, phone, email, and relationship to the applicant and familiarity with the situation *

Lay faithful Catholic (non-family member of the applicant) #2: Name, phone, email, and relationship to the applicant and familiarity with the situation *

Catholic Priest #1: Name, Diocese or Order, phone, email, and relationship to the relationship to the applicant and familiarity with the situation

Catholic Priest #2: Name, Diocese or Order, phone, email, and relationship to the relationship to the applicant and familiarity with the situation

Certify Application

Enter your initials to self-certify that you meet the CFCP Eligibility Criteria

Click Here To View Eligibility Criteria

Enter your initials to self-certify that you agree to all aspects of the CFCP Affirmation of Faith and that all of the contents of this application are accurate to the best of your knowledge

Click Here To View Affirmation

Thank you for submitting this initial request for CFCP consideration. Confirmation of receipt has also been sent to the email address that you provided. CFCP will conduct an internal due diligence review of the contents. No external parties aside will be contacted at this stage. You will receive an update via email from CFCP’s Priestly Assistance Coordinator as soon as possible once the initial review is complete.

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