Diocese of Scranton
Pastoral Formation Institute
Registration Form

Directions: Fill out student, course, and billing information completely. All information on this form is strictly confidential and is the only way to maintain accurate records of your course work. Please register early. Courses lacking set minimum enrollment may be canceled five days prior to start date. One applicant and one course per registration form. Registration forms may be copied as necessary.

           Please provide us with the following information:

Name  
Social Security Number  
Address

City  
State  
Zip Code  
Phone (Day)  
Phone (Evening)
E-Mail Address
Parish 

City 
Phone

 

Please indicate the PFI program in which you would like to enroll:

Level I:     Parish Ministry Foundations Certificate 

Level III:  
                 Deacon Candidate's Spouse for Credit   Audit
Course Name       
Course Number    
Date of First Class
Class Location      

 

Billing Information
(PFI Transcripts will be sent to enrollee and to Pastor/Principal/Payee)

Bill to:   
Fee:      

 

Please fill out next section if you checked payee other than Self.

Pastor/Principal's Name
Phone
Parish/School Name
Address
City State Zip
 

Diocese of Scranton Office for Parish Life
Phone:570-207-2213 Fax: 570-207-2204