Contact Information

* Today's Date:

* First Name:

* Last Name:

* Address:

* City:

* Province/State:

* Postal/Zip Code:

* Email:

* Home Phone:

Work Phone:

Additional Information

* Date of birth (mm/dd/yyyy):

* How long have you been Catholic?

* Parish:

* Marital status:

If divorced, for how long?

* Do you have children?

* What is your highest level of education?

If you chose 'other', please specify:

* Exposure to Benedictine Sisters/Way of Life:

* Reason for applying for live-in experience:

* Present work:

Physical disabilities:

Special dietary needs:

* Interests/hobbies:

* Goals:

Please contact the Mary Coswin, OSB at (204) 339-1705 or e-mail stbens@mts.net if you have any questions or for more information.

Thank you for your interest in the Sisters of St. Benedict. We will be in touch soon.
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