The Benedictine Network Affiliation Form (3.1) NOTE: Data Entry Protocols: If requested data does not apply, please leave field empty. Please use standard capitalization norms (i.e., Names: First, Middle, Last). DO NOT enter data all in UPPER CASE or lower case. Please use standard capitalization norms. Please do not hit ENTER (as doing so may SEND form) when entering information. Thank you. Many Blessings. To UPDATE previously submitted information, please refer to Network Affiliation Update Form. Thank you. Peace be with you. When we receive this form, you become an active affiliate of The Benedictine Network. (Please Note: Please understand that you will not be considered a monk nor a member of the White Robed Monks of St. Benedict.) If you wish to affiliate a Jurisdiction or Religious Order, please complete Network Jurisdiction/Order Affiliation Form By return postal mail, you will receive a Certificate of Affiliation attesting that you consciously intend the world to be a more compassionate place. Your name and intentions become part of the General Intentions of The Network and The Order. At any time, you may request prayers of The Network for designated intentions by contacting The Monks via e-mail links at the end of each of our WEB documents. You may also network with those appearing in the Zendo to which you will receive the access code after we have processed your Network Affiliation Application Form. Thank you for your interest in desiring to let the world be a more compassionate place, for networking, and for your cooperation in completing this form. Many blessings and may Peace and Joy be to you and yours now and forevermore. The White Robed Monks of St. Benedict Please check as appropriate: Yes, I am applying as an Affiliate, having met the White Robed Monks on the Web or in some other non-sacramental forum. Yes, I am applying as an Associate, having met the White Robed Monks in a sacramental forum. YES, this is a NEW Network Application (non-Monastic) I am now about to submit. This application form accompanies No Other Form a Baptism Petition a Confirmation Petition a Holy Orders Application an Incardination Application a Jurisdiction Affiliation a Marriage Petition a Monastic Application Form that I am now about to submit. Please enter today's date (MM/DD/YY): Please enter your information (which we share with no other entity and is used for mailing newsletters, etc.): First Name: Middle Name: Middle Initial: (Yes, please note Middle Initial here as well as Middle Name above. Thank you.) Last Name: (Please be sure to note if "Jr." or "II," etc.) Home phone number with Area Code: Home FAX number with Area Code: Work telephone number with Area Code: Work FAX number with Area Code: Cell phone number with Area Code: Date of Birth (MM/DD/YYYY): Country of Birth: (select a country) Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of the Congo Republic of the Costa Rica Cote dIvoire Ivory Coast Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic of Germany Ghana Gibraltar Great Britain & Northern Ireland Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Eire Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Montenegro Yugoslavia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka St. Christopher St. Kitts & Nevis Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Western Samoa Yemen Zambia Zimbabwe E-mail address: Please re-enter for accuracy check: E-mail address: Please check your e-mail address for written accuracy. Thank you. Mailing Postal Address: Address: City: USA only, State-Abreviation: Not Applicable AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NB NC NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY USA only, State full name: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming USA ONLY please enter ONLY 5 digit ZIP Code: If in USA, to insure prompt processing of this form, PLEASE obtain and fill-in below your ZIP+4. To obtain your ZIP+4 please click: USPS Zip Code Retrieval Unit. Your information (usually) will be saved. When +4 is obtained, just click browser's tool bar BACK button at top of USPS page to return to this form. Zip+4 currently in USPS data base. YES NO If NO, then insert OOOO in next field.Thank you.) Please enter ONLY +4 here: Outside USA Province: Outside USA Postal Code: Country: United States Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of the Congo Republic of the Costa Rica Cote dIvoire Ivory Coast Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic of Germany Ghana Gibraltar Great Britain & Northern Ireland Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Eire Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Montenegro Yugoslavia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka St. Christopher St. Kitts & Nevis Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Western Samoa Yemen Zambia Zimbabwe Please enter your WEB site's URL: Do you wish your WEB Site published on The Zendo with your listing? Yes, please add my WEB site to my listing in the Zendo with the site's name/title being: and brief description: Please enter my personal information and general information as to my motivation for affiliating(offered below) in which ONE of the following ways (if NO selection is noted, we will assume you wish your information posted in the Semi-Cloister): Yes, please list my name in the Index (country, state, city) which links to my networking information (if offered below) with e-mail address in The Network's Semi-Cloistered Zendo page (access by special instruction) OR Yes, please list my name with my networking information (if offered below) and e-mail address in The Network's Cloistered Zendo page (access by password/ID) OR Yes, please do not publish my information (my name and e-mail address). I am an ordained cleric: No Yes, please list under Network Affiliated Clerics my name, e-mail address and personal information as an Ordained Cleric (Minister, Priest/Deacon, Pundit, Rabbi, etc.) in the following religious tradition: Please select Bahai Buddhist Christian Hindu Islamic Jain Jewish Taoist Shinto Sikh Zoroastrian Other If "Other," please indicate here: . Please note as my clerical title: Please select Lama Mar Most Reverend Rabbi Reverend Reverend Mr. Reverend Ms. Right Reverend Other If "Other," please indicate here: . If an ordained Christian cleric (bishop, deacon, minister, priest), please note: Bishop Deacon Minister Priest If a Catholic deacon, priest or bishop, please denote jurisdiction in which you are or were last incardinated: Please select African Catholic American Catholic Catholic Apostolic Independent* Catholic Jacobite Catholic Liberal Catholic Mariavite Catholic Old/Dutch Catholic Orthodox/Russian Orthodox/Greek Orthodox/Other Polish National Catholic Roman Catholic Other If "Other" or Independent (*Autocephalous) Catholic, please cite name of jurisdiction: If a Protestant ordained (not lay) deacon, minister or bishop, please denote denomination: Please select Adventist Anglican Baptist Congregational Episcopal Lutheran Methodist Morman Non-Denomination Presbyterian Quaker Reformed Unitarian Other If "Other," please cite name of denomination: Please, if you so choose, write a few words about yourself or your motivation for affiliating, that we will include in your listing for networking possibilities: business, social, spiritual or the like. (Note: Please DO NOT hit ENTER nor use commas (,) in your entry. Dashes (-) are OK. Thanks.) Thank you. Peace and Joy to you and yours. BEFORE SUBMITTING THIS FORM PLEASE CHECK THAT YOUR E-MAIL ADDRESS AND BIRTHDATE (MMDDYY) ARE CORRECT. Please PRINT this form for your records prior to clicking Submit. Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear. In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Network Affiliation Form and in message area: your contact e-mail, Last Name and phone number. We will confirm within 24 hours whether or not we received your petition. Thank you. Type the number: The Network's Brochure The Order's Brochure Homepage
When we receive this form, you become an active affiliate of The Benedictine Network. (Please Note: Please understand that you will not be considered a monk nor a member of the White Robed Monks of St. Benedict.) If you wish to affiliate a Jurisdiction or Religious Order, please complete Network Jurisdiction/Order Affiliation Form
By return postal mail, you will receive a Certificate of Affiliation attesting that you consciously intend the world to be a more compassionate place. Your name and intentions become part of the General Intentions of The Network and The Order. At any time, you may request prayers of The Network for designated intentions by contacting The Monks via e-mail links at the end of each of our WEB documents. You may also network with those appearing in the Zendo to which you will receive the access code after we have processed your Network Affiliation Application Form.
Thank you for your interest in desiring to let the world be a more compassionate place, for networking, and for your cooperation in completing this form.
Many blessings and may Peace and Joy be to you and yours now and forevermore.
The White Robed Monks of St. Benedict
Yes, I am applying as an Affiliate, having met the White Robed Monks on the Web or in some other non-sacramental forum. Yes, I am applying as an Associate, having met the White Robed Monks in a sacramental forum.
YES, this is a NEW Network Application (non-Monastic) I am now about to submit. This application form accompanies No Other Form a Baptism Petition a Confirmation Petition a Holy Orders Application an Incardination Application a Jurisdiction Affiliation a Marriage Petition a Monastic Application Form that I am now about to submit.
Please enter today's date (MM/DD/YY):
Please enter your information (which we share with no other entity and is used for mailing newsletters, etc.): First Name: Middle Name: Middle Initial: (Yes, please note Middle Initial here as well as Middle Name above. Thank you.) Last Name: (Please be sure to note if "Jr." or "II," etc.) Home phone number with Area Code: Home FAX number with Area Code: Work telephone number with Area Code: Work FAX number with Area Code: Cell phone number with Area Code: Date of Birth (MM/DD/YYYY): Country of Birth: (select a country) Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of the Congo Republic of the Costa Rica Cote dIvoire Ivory Coast Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic of Germany Ghana Gibraltar Great Britain & Northern Ireland Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Eire Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Montenegro Yugoslavia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka St. Christopher St. Kitts & Nevis Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Western Samoa Yemen Zambia Zimbabwe E-mail address: Please re-enter for accuracy check: E-mail address: Please check your e-mail address for written accuracy. Thank you. Mailing Postal Address:
Thank you. Peace and Joy to you and yours.
Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear. In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Network Affiliation Form and in message area: your contact e-mail, Last Name and phone number. We will confirm within 24 hours whether or not we received your petition. Thank you.
The Network's Brochure The Order's Brochure Homepage