Episcopal Liturgical Preparation Form

Attention

This form is only for those who are scheduled to have Bishop Checchio celebrate a liturgy at your Parish/Institution.

Type of Liturgy REQUIRED 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.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Pastor's/Chaplain's Name

Pastor's/Chaplain's Title REQUIRED
As referred on formal documents
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.

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 Please fill out this field.
If you selected OTHER, please enter 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 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.

MASS

Mass (from the Roman Missal) to be celebrated REQUIRED Please fill out this field. Please enter valid data.

People's Order/Worship Aid

People's Order/Worship Aid REQUIRED Yes No Please fill out this field.
If YES, who will prepare People's Order/Worship Aid? Please enter valid data.

Minister's Text

Minister's Text REQUIRED Yes No Please fill out this field.
If YES, who will prepare the Minister's Text? Please enter valid data.

Vestments REQUIRED Please fill out this field.

Concelebrating Priests REQUIRED Please fill out this field.
Concelebrant 1
- Title REQUIRED 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 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 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 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 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 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 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 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 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 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.

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 will be scheduled: 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 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

Are there any special instructions regarding the Entrance Procession? REQUIRED
If this does not apply, type N/A
Please fill out this field.
Following the Sign of Cross and Greeting, will someone formally welcome the Bishop? If yes, please provide the name of the person responsible. 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 Worship can forward to the Bishop's Office for him to review and finalize.
Penitential Act REQUIRED Please fill out this field.
Penitential Act REQUIRED Please fill out this field.
The Gloria REQUIRED
Please note that the Gloria is only omitted during Lent.
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 Please fill out this field.
2nd Reading 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 Please fill out this field.
Please note that the Universal Prayer should be kept to 5-6 short & concise intercessions.
Universal Prayer REQUIRED Please fill out this field.

Liturgy of the Eucharist

If there is no Presentation of the Gifts and the gifts will be prepared at the credence table prior to Mass, either leave the field blank or type in N/A.

Presentation of the Gifts (Offertory) REQUIRED Please fill out this field.
Gift Bearer 1
- Who will bring up the Gifts? Please enter valid data.
Gift Bearer 2
- Who will bring up the Gifts? Please enter valid data.
Gift Bearer 3
- Who will bring up the Gifts? Please enter valid data.

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 Please fill out this field.

Please note: Communion Song should conclude when all the faithful have received the Sacrament.

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. 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? REQUIRED Please fill out this field.
ADDITIONAL NOTES / Is there anything else to be noted that was not asked on the form? 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 Worship & the Office of the Bishop for review and will be subject to change.

I Agree Please select this field.

Episcopal Liturgical Preparation Form

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 Worship & the Office of the Bishop for review and will be subject to change.

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 Worship & the Office of the Bishop for review and will be subject to change.