Speaker Permission Online Form

Complete and submit this form any time a cleric, religious or speaker NOT affiliated with the Diocese of Fargo celebrates a sacrament or gives a presentation on Church property or on behalf of the Church. All information is required. The approval process cannot begin until it is complete. The person’s presence in the diocese should not be advertised until the approval letter has been received.

EVENT INFORMATION

Organizing Parish or Organization REQUIRED Please fill out this field. Please enter valid data.

Event Description REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Authorized by REQUIRED Please fill out this field. Please enter valid data.

Name of Contact Person REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

INCOMING PERSON

Person's Legal Name REQUIRED Please fill out this field. Please enter valid data.

This Person is a REQUIRED Priest Deacon Religious Lay Person Please fill out this field.

Person's Contact Information REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Web/Social Media Site(s) Please enter valid data.

Diocese, Religious Institution or Employer REQUIRED Please fill out this field. Please enter valid data.

Date of Letter of Good Standing or Background Check REQUIRED Please fill out this field. Please enter valid data.

This person will be (For a cleric, please check all that apply) REQUIRED Speaking Main Celebrant of Mass Concelebrating/Assisting at Mass Preaching Performing a Baptism Witnessing a Marriage Other Please fill out this field.

If "other" was selected please explain Please enter valid data.

REFERENCE

Name of Reference REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

OTHER INFORMATION Please enter valid data.

Diocesan Office Use Only (Please check and initial) Chancery Approved HR Approved VC Approved