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Speaker Permission Requests
New Request
This form is not accepting responses at this time.
Any Catholic parish, Catholic school, Catholic organization, Catholic association, or apostolic undertaking using the name “Catholic” in the Diocese of Madison that wishes to host, sponsor, promote, or advertise a public presentation on faith and/or morals must first receive permission from the local Ordinary. Please note this form must be submitted
at least 60 days prior
to the event.
Information About Parish or Organization Hosting the Presentation
Name of Catholic Parish, School, or Association
REQUIRED
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Address
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City
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Name of Contact Person
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Email
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Phone Number
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Information About Proposed Speaker
Name of Proposed Speaker
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Title/Position
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Employer
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Address
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City
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State
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CO
CT
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DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OK
OR
PA
PR
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RI
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VT
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Zip
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Phone Number
REQUIRED
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Email
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Please enter an email address.
Website (if applicable)
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Information About Proposed Presentation
Name of Presentation
REQUIRED
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Date of Presentation
REQUIRED
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Please enter a date.
Time
REQUIRED
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Location of Presentation
REQUIRED
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If the presentation will NOT be held in a church or oratory, please write N/A in the field below. If the proposed speaker is a layperson and the presentation will be held in a church or oratory, additional permission is required pursuant to
canon 766
. Please describe the unique circumstances and reasons why the presentation cannot be held in another location.
Is the presentation being held in a church or oratory?
REQUIRED
Please fill out this field.
Information About Event During Which Presentation Will Take Place
If the presentation will NOT take place during a larger event, write N/A below. If the presentation indicated above is going to take place during a larger event, such as a conference or retreat, please give information about the larger event.
Name of Event
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Website (if applicable)
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Name of Contact Person for Event
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Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Email
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Attestation
Attestation of the Speaker's Fidelity
REQUIRED
I can personally attest to the proposed speaker’s fidelity to the teaching of the Catholic Church on faith and/or morals and the fact that he/she is not living in a manifest state of grave sin.
I am unsure about the proposed speaker’s fidelity and adherence to teaching of the Catholic Church on faith and/or morals.
Please fill out this field.
Upon completion of this form, please submit the following documents by email to
[email protected]
:
a detailed outline of the topic to be presented
a current
curriculum vitae
of the proposed speaker
if the proposed speaker is a layperson, a letter of suitability from his/her pastor
if the proposed speaker is a cleric or religious, a letter of suitability from the speaker’s respective Ordinary or superior, as well as a copy of a
celebret
for priests
if the proposed speaker is a college or university professor, a copy of his/her
mandatum
or an explanation of why the proposed speaker does not have a
mandatum
pursuant to canon 812
if the proposed speaker will address minors, proof that he/she has adequate safe environment training
if the proposed speaker is not Catholic, written assurance from the speaker that he/she will not dispute or call into question Catholic doctrine in any way
if the event takes the form of a debate or panel discussion, written assurance that the authentic doctrine of the Catholic Church will be presented and given equal time
if the event is an ecumenical gathering, written assurance that the goal of the event is to promote Christian unity, that the authentic doctrine of the Catholic Church will be presented, and that false irenicism and syncretism will be avoided
Please electronically sign and date the statement below:
I understand that it is the duty of the diocesan bishop to protect the integrity and unity of the faith to be believed and to exercise vigilance so that abuses do not creep into ecclesiastical discipline, especially regarding the ministry of the word and the administration of temporal goods (c. 386; 392 §2) and that the faithful have a right to expect that what they hear in parishes and schools, as well as what is promoted or sponsored by Catholic parishes, schools, and organizations will be consonant with the teaching of the Catholic Church (cf. c. 229 §1).
I understand that before a formal invitation is extended to the speaker, a request for permission must be submitted to the Office of the Vicar General no fewer than 60 days prior to the event in question and that permission is not presumed, nor can any definite time frame for the granting of the permission can be established.
I swear before God and my conscience that all the information given in this request is true insofar as I know and hereby request that permission be given for the aforementioned speaker to present on matters of faith and/or morals.
First Name
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Last Name
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Date
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