Request for Participation in a Mission Co-op

PART I
Name:
This is a:
 Archdiocese Prelature Vicariate
Religious Society or Congregation Other
Name of Bishop or Superior:
Address:
 City:
State:
Zip:
Phone Number:
Fax Number:
E-Mail:
Name of Bishop/Priest Making the Appeal:
Address:
 City:
State:
Zip:
Phone Number:
Fax Number:
E-Mail:
To whom would correspondence be sent?
Address:
 City:
State:
Zip:
Phone Number:
Fax Number:
E-Mail:
If accepted, who will set preaching date?
Address:
 City:
State:
Zip:
Phone Number:
Fax Number:
E-Mail:
PART II
Name of country where (Arch) diocese or project is located?
If religious community or society, countries in which you work?
Number of people served:
Number of Catholics:
 For what will the money be used?
PART III
Have you been included in the Mission Cooperative Plan for the Archdiocese of Los Angeles in the past?
YESNO
Last year you participated:
Do you receive assistance from "Propaganda Fide" in Rome?  YES NO
Have you applied, or intend to apply, to the Mission Cooperative Plans of the following California diocese:
Fresno Monterey Oakland Orange San Bernardino
Sacramento San Diego San Francisco Santa Rosa Stockton


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