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