National Association of Asian Pacific American Deacons

Membership Application

                                                Date of Application: ___/___/___

       Name:________________________________________________________

                          (please print)

      Address:_______________________________________________________

                   ________________________________________________________

     Telephone#___________________   E-mail:___________________________

    (Arch)Diocese of:__________________    Parish of:______________________

    Ordination Year:____________        Country of Birth:_____________________  

    Diaconate Candidate:  yes____No______

    Married: Yes_____No_____               Active:______Retired:______

  Please return as soon as possible with a $20.00 check payable to the NAAPAD for   Annual membership.

  Please mail to:  Deacon Joseph Chang Jae Lee,  President            

                                  7031 Kenmare Drive

                                  Bloomington,  MN   55438

                                  Tel: 952-942-6288

                                  E-mail: eec3000@hotmail.com