Diocese of Madison
2007-08 Catechetical Personnel Survey

Each DRE, CRE, ARE or YM in the Diocese of Madison should complete this form and then click the 'Submit' button at the bottom of the page.
Do not use the 'Enter' key.
Only those items in red will be published in the directory.

If you have questions, please call 608-821-3160 or e-mail OEC@straphael.org.



General Information
First Name:
Last Name:
Parish:
City where parish is located:
County where parish is located:
Your preferred mailing address:
     Street address:
     City:
     State:
     Zip:
Email Address:
Work phone:
Home/cell phone: Check here if it's OK to publish your home/cell phone in the diocesan directory.

Your age: 21-30    31-40    41-50    51-60    Over 60
Gender: Male      Female
Do you have access to the Internet? Yes      No

Position
Director of Religious Education
Coordinator of Religious Education
Associate of Religious Education
Coordinator of Youth Ministry
Other:

Paid      Not Paid
Full-time      Part-time (hours per week: )
Your supervisor is: Pastor       Parochial Vicar       Pastoral Associate       DRE       Other
Years in present position:
Total years in paid ministry:
Total years in non-paid ministry:
Do you have a written contract or working agreement? Yes       No
Length of contract or agreement in months: 9 months    10 months    11 months    12 months    other

Responsibilities (check all that apply):
Pre-School and kindergarten
Elementary
Middle and/or Junior High
High School
Parochial Elementary School
Parochial Middle School
Baptismal Preparation
Eucharist Preparation
Reconciliation Preparation
Confirmation Preparation
Marriage Preparation
Children's Liturgy of the Word
Adult Christian Initiation (RCIA)
Children's Christian Initiation
Adult Faith Formation/Education
Youth Ministry
Family Ministry
Vacation Bible School
Special Education
Budget Preparation
Fund Raising
Retreats
Religious Education Commission
Other responsibilities:
Number of Paid staff you supervise:
Number of Volunteers you supervise:
Total yearly Program Budget (excluding salary and benefits):
     $0 - $5000
     $5001 - $10,000
     $10,001 - $15,000
     $15,001 - $20,000
     $20,001 - $30,000
     $30,001 - $40,000
     $40,001 - $50,000
     Over $50,000

Certification (check all that apply):
FOREM: Basic    Intermediate    Advanced    Times Renewed:
Youth Ministry (CMD)
Spiritual Direction
Other Certifications:

Education (check all that apply)
High School
Bachelor Degree (Major: )
Masters Degree (Area:)
Doctorate Degree (Area: )

Benefits provided by parish (check all that apply):
Medical Insurance (percentage of medical insurance paid by parish )
IRA or Pension (percentage of IRA or retirement pension paid by parish )
Number of Sick days/year:
Number of Paid leave days:
Number of Paid Holidays:
Continuing Education Funds:
Do you get reimbursed for mileage? Yes       No

Your current annual salary:
$0 - $10,000
$10,001 - $15,000
$15,001 - $20,000
$20,001 - $25,000
$25,001 - $30,000
$30,001 - $35,000
$35,001 - $40,000
$40,001 - $45,000
$45,001 - $50,000
$50,001 - $55,000
Over $55,000

Parish Support Services (check all that apply):
None
Furnished Office
Administrative Support ( Full-time;   Part-time)
Telephone
Computer
Copy Machine
Fax
Cell phone
Internet
Email
Other:

Catechetical texts used by your parish
What is the primary text series for each of the grade levels below?
NOTE: Please include only 1 series name - your main series - and the name of the publisher (Example: Horizons, St. Mary Press)
Pre-K - 3:
4-6:
7-8:
9-10:
11-12:
First Eucharist:
First Reconciliation:
Confirmation:

Comments: