UK 2025 Application

LEGAL NAME*

First and Last name are required. Please use the name used on official government documentation. We use this name for formal communications such as donor recognition letters, certificates, etc.

Title First Name Middle Name or Initial Last Name Suffix (Jr., OPL, etc.)

Alt. Name Checkbox

I would like to be called by my legal first name.

PREFERRED NAME*

What name to you go by with friends and family? We'll use this for casual communications such as introducing you to others in your local Disciple Circle (small group).

DISPLAY NAME*

This is the name that will be displayed semi-publicly within the Lay Mission social platform. i.e. Bob, JaneD321, MRobertsOPL, etc. It will also be the beginning of your username, which will be emailed to you after you submit this form [the only special characters permitted are underscore ( _ ), hyphen ( - ) and period ( . ) ].

Generated Username

Your username will be automatically generated from your "DISPLAY NAME" by adding "_UK2025" after. There is no need to take note of this, as you will receive an email confirmation after successful submission of this form.

BEST EMAIL ADDRESS*

We recommend using a personal email address rather than a work-related email. Your email is required for your participation in the formation, especially for auto-creation of login credentials, processing your application, and sending critical confirmation and updates to formation participants.

Enter Email Confirm Email

EMAIL OPT-IN*

In order to participate in the formation, you must consent to email opt-in. Once enrolled, you'll be able to differentiate email preferences to unsubscribe from non-essential emails such as newsletters, yet still receive important email updates such as event notifications. See our Privacy Policy for details on data processing and your right to withdraw consent. These preferences can be updated on your laymission.net profile page.

YES, I consent to receiving email communications from LMI.

MOBILE PHONE NUMBER

Mobile phones are preferred if you would like to receive communications regarding your participation status via text. These may include important updates, event reminders, course availability announcements, etc.

SMS OPT-IN

Check this box to receive periodic SMS updates (e.g., programme reminders, event notifications). See our Privacy Policy for details on data processing and your right to withdraw consent. These preferences can be updated on your laymission.net profile page.

YES, I consent to SMS communications from LMI.

HOME PHONE NUMBER

MAILING ADDRESS*

Street Address or House Name Address Line 2 or Locality (optional) Town/City County or Townland (optional) Postcode/Eircode Country

RESIDENTIAL ADDRESS

My residential address is the same as my mailing address

Street Address or House Name Address Line 2 or Locality (optional) Town/City County or Townland (optional) Postcode/Eircode Country

DIOCESE COUNTRY*

What country is your home diocese in? This choice will affect the available choices in the next question, and will be used for creating groups, as well as coordinating scholarships and tax benefits.

DIOCESE AFFILIATION*

PARISH AFFILIATION

GROUP PREFERENCE

We will try our best to accommodate these requests, but group placement may be dependent on the number of applicants within the same geographic area. Parish: if you would like the Lay Mission Team to place you in a group based on your parish or deanery (group of parishes within a geographic region). Residential Address: if you live relatively far away from your parish and would prefer a small group closer to home. Pre-Existing Small Group: if you are applying with a particular group of people, please come up with a unique name of the group, and have everyone in the group type it in below.

Residential Address

Parish

Pre-Existing Small Group

Group Name

FACILITATOR?*

Would you be interested in becoming a "Facilitator" of a Lay Mission small group (Disciple Circle)? This does NOT require additional knowledge, just a willingness to be a proactive participant and to commit some extra time. Selecting "yes" will not automatically make you a facilitator, it merely indicates your willingness to serve a small group by facilitating the structured discussions. Similarly, selecting "no" does not disqualify you from serving in this capacity.

Yes

Maybe

How did you hear about the Lay Mission formation? (Check all that apply)

How did you hear about Lay Mission Project - Other

DEMOGRAPHICS & OCCUPATION

The following information will be kept confidential and only used for internal analysis, mission effectiveness, and to help accurately present grant foundations with relevant (anonymized) demographics. These statistics are frequently requested by grant foundations to which we apply. This information WILL NOT be used to determine eligibility. Although most questions in this section of the application are optional, the more questions you answer, the greater it will assist the Lay Mission Institute in mission effectiveness.

DATE OF BIRTH*

SEX*

MARITAL STATUS

CHILDREN?

How many children have you had?

EDUCATION

What is the highest degree of education you have earned? (If you’re currently enrolled in school, please indicate the highest degree you have already received)

EMPLOYMENT STATUS

What is your current employment status?

OCCUPATION FIELD

If you are retired, please choose an occupation category that describes the field with which you have the most experience or competency. If you are a student, please choose a field you are aiming to enter.

Occupation Field - Other

JOB TITLE

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