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Episcopal Liturgical Preparation Form
For information on Episcopal Liturgical Preparation, visit our
Resources
page.
Episcopal Liturgy Preparation Form
The maximum number of form submissions has been reached. This form is currently not available.
Attention
This form is only for those who are scheduled to have Bishop Checchio celebrate a liturgy at your Parish/Institution.
We encourage that the Parish to keep to a routine Sunday/Weekday Mass during the Bishop's visit to the Parish to celebrate Mass in order to highlight the celebratory style that is practiced at the Parish.
Occasion
REQUIRED
(Select One)
Parish Mass
Parish Mass - Parish Anniversary
Parish Mass - Consecration of Church/Altar
Parish Mass - Installation of Pastor
Parish Mass - Other Special Occasion
Mass at an Institution
Mass at an Institution - Special Occasion
Mass for Diocesan Event
Prayer Service
Blessing
Other
Please fill out this field.
If you select "Other" for Occasion, please specify:
Please enter valid data.
Type of Mass
REQUIRED
(Select One)
Solemnity (S)
Feast (F)
Obligatory Memorial (M)
Optional Memorial (m)
Sunday
Weekday
Ritual Mass
Votive Mass
Various Needs & Occasions
Other
Please fill out this field.
Event
REQUIRED
Please fill out this field.
Please enter valid data.
Date of the Liturgy
REQUIRED
Please fill out this field.
Please enter a date.
Time of the Liturgy
REQUIRED
Please fill out this field.
Please enter valid data.
Parish/Institution of the Liturgy
REQUIRED
Please fill out this field.
Please enter valid data.
Street Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
On-Site Contact
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Role
REQUIRED
(Select One)
Pastor
Parochial Vicar
Director of Liturgy/Sacred Music
Liturgical Coordinator
Other
Please fill out this field.
If you selected OTHER, please indicate your Role
Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Note:
The information submitted to the Office of Divine Worship will be emailed to the email address provided above.
Cell Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Pastor/Chaplain
Pastor's/Chaplain's Title
REQUIRED
As referred on formal documents
(Select One)
Rev. Msgr.
Very Rev.
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Will he (the Pastor/Chaplain) concelebrate at this Mass?
REQUIRED
Yes
No
Please fill out this field.
MASS
Mass (from the Roman Missal) to be celebrated
REQUIRED
Please fill out this field.
Please enter valid data.
Minister's Text
Is a Bilingual Minister's Text (English-Spanish) needed for this Mass?
REQUIRED
Yes
No
Please fill out this field.
Please list all Concelebrants at this Mass (including the Pastor, if he is concelebrating).
Concelebrating Priests
REQUIRED
Please fill out this field.
Concelebrant 1
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 2
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 3
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 4
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 5
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 6
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 7
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 8
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 9
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Concelebrant 10
Title
REQUIRED
(Select One)
Rev. Msgr.
Very Rev.
Rev. Canon
Rev.
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Deacon
Will there be Deacons assisting at this Mass?
If yes, please indicate name below.
If no, please enter N/A.
Deacon of the Word
REQUIRED
If there is no Deacon, enter N/A
Please fill out this field.
Please enter valid data.
Deacon of the Eucharist
REQUIRED
If there is no Deacon, enter N/A
Please fill out this field.
Please enter valid data.
Please list any additional Deacons serving at this Mass, if not serving as Deacon of the Word and/or Eucharist.
Altar Servers
Please note that a minimum of six (6) altar assistants (servers) are needed for an Episcopal liturgy. The miter and crosier assistants may not serve in a second role. Other roles may be fulfilled by the same person as long as the roles are not conflicting.
Please indicate the number of servers that has been scheduled & confirmed to serve:
REQUIRED
Maximum 9 characters
Please fill out this field.
Please enter an integer (number) from 0 to 9.
Please select the positions that will be filled for this Mass.
REQUIRED
Cross Bearer
Candle Bearer #1
Candle Bearer #2
Book Bearer
Miter Bearer
Crosier Bearer
Thurifer (if needed)
Altar Server/Acolyte #1 (if needed)
Altar Server/Acolyte #2 (if needed)
Please fill out this field.
INCENSE
Will incense be used?
REQUIRED
(Select One)
Yes & We will have an Altar Server to serve as the Thurifer Bearer.
No
Please fill out this field.
If you say YES to the above question, when will it be used?
Entrance Procession
Gospel
Incense of the Gifts
Incense of the People
Entrance Rite
Following the Sign of Cross and Greeting, will someone formally welcome the Bishop? If yes, please provide the name of the person responsible. If no, please enter N/A.
REQUIRED
Please fill out this field.
Please enter valid data.
Please note that normally the Bishop uses Form C (with invocations) for the Penitential Act. If this changes, we will inform the Parish.
If you have a Parish custom using a different option of the Pentinential Act that differs from the Bishop's choice, please provide the one used customarily by the Parish and then please notate in the Additional Notes section so the Office of Divine Worship can forward to the Bishop's Office for him to review and finalize.
Penitential Act
REQUIRED
(Select One)
Confiteor
Form B
Form C (with invocations)
Blessing & Sprinkling of Water
PENITENTIAL ACT OMITTED PER RITUAL
Please fill out this field.
Penitential Act
REQUIRED
(Select One)
Spoken
Sung
PENITENTIAL ACT OMITTED
Please fill out this field.
The Gloria
REQUIRED
Please note that the Gloria is only omitted during Lent.
(Select One)
Sung
Recited
Not Included
Please fill out this field.
Note:
During Lent, Gloria is not included except for Solemnities.
Liturgy of the Word
Liturgy of the Word
How many Readers for the Liturgy of the Word?
REQUIRED
Maximum 2 characters
Please fill out this field.
Please enter an integer (number) from 0 to 2.
Please provide the Readings of the Day below as provided in the Ordo.
In the event you are requesting for alternative readings, please provide your request in the
Additional Notes section
.
1st Reading
REQUIRED
Please enter the 1st Reading (see Ordo)
Please fill out this field.
Please enter valid data.
Responsorial Psalm
Please enter the Responsorial Psalm (see Ordo)
Please enter valid data.
Will there be a Cantor present at this Mass to sing the Responsorial Psalm?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
2nd Reading
REQUIRED
Please enter the 1st Reading (see Ordo)
Please fill out this field.
Please enter valid data.
Gospel
REQUIRED
Please enter the 1st Reading (see Ordo)
Please fill out this field.
Please enter valid data.
In the event that there is no Deacon, which concelebrant will proclaim the Gospel? If this does not apply, please enter N/A.
REQUIRED
Please fill out this field.
Please enter valid data.
The following field should only be filled out if it has been determined in consultation with the Office of the Bishop that Bishop will not be the Homilist and serving solely as the Celebrant for the Mass.
If the Bishop is not the Homilist, please type in the name of the Homilist.
Please enter valid data.
Creed
REQUIRED
(Select One)
Yes
No
CREED OMITTED
Please fill out this field.
Please note that the Universal Prayer should be kept to 5
-
6
short & concise intercessions.
Universal Prayer
REQUIRED
(Select One)
Prepared by Parish & Intercessions read by Parish Deacon
Prepared by Parish & Intercessions read by Parish Reader
Prepared by Institution & Intercession read by Deacon
Prepared by Institution & Intercession read by Assigned Reader
UNIVERSAL PRAYER OMITTED PER RITUAL
*CONFIRMED WITH WORSHIP* Prepared by Diocesan Office of Divine Worship & Intercessions read by a Deacon
*CONFIRMED WITH WORSHIP* Prepared by Diocesan Office of Divine Worship & Intercessions read by Assigned Reader
Please fill out this field.
Liturgy of the Eucharist
Will there be a Presentation of the Gifts (Bread & Wine)?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
If it is customary to bring the parish offering, will there be a 3rd or 4th Gift Bearer to bring up the basket for the Offertory?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
If there is no Presentation of the Gifts and the gifts will be prepared at the credence table prior to Mass, select No.
Please note that the
Eucharistic Prayer (EP)
will be decided by the Bishop. Please confirm with the Master of Ceremonies prior to the Mass to ensure the correct EP is bookmarked.
The
Preface
will be based on the Mass being celebrated.
Please note that two Concelebrants (provided on the form) will be assigned
Concelebrant Parts
.
The Lord's Prayer
REQUIRED
(Select One)
Sung
Recited
Chanted
Please fill out this field.
The singing of the Communion Chant/ (or Song) is to begin without delay while the Bishop is receiving the Sacrament. The singing is continued for as long as the Sacrament is being administered to the faithful. (GIRM #86)
There is
NOT
to be a song following Communion (sometimes called a “meditation song”).
Concluding Rite / Other Notes
Following the Prayer after Communion, will there be any announcements/acknowledgement? If yes, please provide the name of the person responsible. If no, please enter N/A.
REQUIRED
Please fill out this field.
Please enter valid data.
Is there anything unusual happening at this Mass that the Bishop's Office needs to be informed about? If no, please enter N/A.
REQUIRED
Please fill out this field.
ADDITIONAL NOTES / Is there anything else to be noted that was not asked on the form? If no, please enter N/A.
REQUIRED
Please fill out this field.
I have reviewed the information provided above and verify that it is accurate to the best of my abilities.
I understand that the above information will be provided to the Office of Divine Worship & the Office of the Bishop for review and will be subject to change.
I Agree
Please select this field.
Submit
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