Basic Catechist Certification Application / Aplicación para Basic Catechist

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General Information / Información General
Name / Nombre
Address / Dirección
City / Cuidad
State / Estado
Zip Code / Código Postal		Postal Code (xxxxx)
E-Mail / Correo Electrónico			Email Address ([email protected])
Phone Number / Número de Teléfono
Ministry / Ministerio
Parish / Parroquia
If other, then provide parish name / Si otro, indique el nombre de la parroquia
Are you a teacher at a Catholic school? / ¿Usted es una maestra/o de una escuela católica?	Yes / Si No / No
Name of the school / Nombre de la escuela
Safe Environment Requirement / Requisitos de Ambiente Seguro
Upload evidence of Safe Environment Training / Suba comprobante o copia de certificado de Ambiente Seguro	Click or drop a file here to upload
If the Safe Environment Certificate is unavailable, please explain / Si no tiene el certificado de Ambiente Seguro por favor explique
Educational Background / Historial Academico
Did you complete the Basic Diocesan Catechist Certification Track through the Catechetical Institute from Franciscan University of Steubenville? / Ha completado la Certificación Diocesana Básica Para Catequistas (español) a través del Catechetical Institute de la Franciscan University of Steubenville?	Yes / Si No / No
Did you complete the Catechesis of the Good Shepherd Training Level 1, 2, and/or 3? If so, please upload the Certificate of Completion Level 1./ Si ha completado el entrenamiento de Catequista del Buen Pastor Nivel 1, 2, y/o 3, por favor suba el Certificado de Culminación Nivel 1.	Yes / Si No / No
Did you complete any courses through: / Ha completado cursos al través de: University of Dayton’s Virtual Learning Community for Faith Formation (VLCFF) / La Comunidad Cibernética para la Formación de la Fe (CCFF) de la Universidad de Dayton University of Notre Dame, McGrath Institute for Church Life (STEP) / El Camino de la Universidad de Notre Dame Doorways to Faith Formation / Doorways en español	Yes No
Upload an electronic copy (PDF, JPEG image or Word Document) of the certificate for the core courses taken through the VLCFF, STEP, Doorways, or equivalent to the courses. / Suba (donde dice upload) una copia electrónica (PDF, imagen JPEG o documento de Word) de su certificado oficial para los cursos principales tomados a través de VLFF en Español, El Camino o equivalente a estos cursos.
Upload evidence of Methodology in Catechesis / Suba comprobante o copia de certificado de Métodos y Habilidades Catequéticas	Click or drop a file here to upload
Upload evidence of The Creed / Suba comprobante o copia de certificado de El Credo	Click or drop a file here to upload
Upload evidence of Introduction to Scripture / Suba comprobante o copia de certificado de Introducción a Las Sagradas Escrituras	Click or drop a file here to upload
Upload evidence of Introduction to the Liturgy / Suba comprobante o copia de certificado de Introducción a La Liturgia	Click or drop a file here to upload
Upload evidence of Introduction to the Sacraments / Suba comprobante o copia de certificado de sobre Introducción a Los Sacramentos	Click or drop a file here to upload
Upload evidence of Christian Morality / Suba comprobante o copia de certificado de Introducción a la Moralidad Cristiana	Click or drop a file here to upload
Upload evidence of Introduction to the Christian Prayer / Suba comprobante o copia de certificado de Introducción a La Oración Cristiana	Click or drop a file here to upload
¿Ha completado cursos al través de la Escuela de Evangelización- Ábreme? Note: At the moment this option of formation is not available in English.	Si No
Suba comprobante o copia de certificado de Módulo I-Ábreme	Click or drop a file here to upload
Suba comprobante o copia de certificado de Módulo II-Ábreme	Click or drop a file here to upload
Suba comprobante o copia de certificado de Módulo III-Ábreme	Click or drop a file here to upload
Suba comprobante o copia de certificado de Módulo IV-Ábreme	Click or drop a file here to upload
Suba comprobante o copia de certificado de Módulo V-Ábreme	Click or drop a file here to upload
If you are missing a copy of your certificate(s), please explain / Si no tiene sus certificado(s) por favor explique
If you are applying for equivalency please upload a copy of your college or course transcripts / Si desea aplicar por un curso equivalente a uno que realizó en la universidad o programa de formación, por favor subir una copia de su expediente académico.
Upload additional evidence (optional) / Suba otros certificados adicionales (opcional)	Click or drop a file here to upload
Upload additional evidence (optional) / Suba otros certificados adicionales (opcional)	Click or drop a file here to upload
Upload additional evidence (optional) / Suba otros certificados adicionales (opcional)	Click or drop a file here to upload
Recommendation Letter / Carta de Recomendación
Please upload a Letter of Recommendation from the DRE, Formation Leader or Principal / Por favor suba a la página web, una Carta de Recomendación de su DRE, Líder de Formación de Fe o Director	Click or drop a file here to upload
Comments / Commentarios

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Basic Catechist Certification Application / Aplicación para Basic Catechist

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