2026 Annual Report for Deacons Over 72 Requesting Assignment For a One-Year License in the Diocese of Florida Please fill out and submit the form below to request renewal of your license to function as a deacon in the Diocese of Florida and/or to remain in your present tenure for up to, but not exceeding, 12 months. You are also certifying compliance with the completion of required training in the prevention of sexual misconduct against both children and adults. In addition to submitting this form, you are also required to provide a letter making your licensing request. A sample letter can be found below. Annual reports are due no later than March 1, 2026. Canon III Sec. 7. On reaching the age of seventy-two years, a Deacon shall resign from all positions of active service in this Church, and the resignation shall be accepted. The Bishop may, with the consent of the Deacon, assign a resigned Deacon to any congregation, other community of faith or ministry in another setting, for a term not to exceed twelve months, and this term may be renewed.Name(Required) First Last Date of Birth(Required) Month Day Year Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone(Required)Cell Phone(Required)Your Email(Required)A copy of your submission will be sent to this email address. Enter Email Confirm Email Spouse's Name First Last Ministry InformationAs part of your annual report, it's essential that you schedule a meeting with your rector/vicar/priest-in-charge. This meeting serves as an opportunity to reflect on the past year's accomplishments, address any challenges encountered, and set goals for the upcoming year. Your rector/vicar/priest-in-charge may be contacted to provide feedback.Church Where You Are Currently Assigned(Required)SelectAll Saints Episcopal Church, JacksonvilleBethany Episcopal Church, HilliardChapel of the Incarnation, GainesvilleChapel of the Resurrection, EUC@FSU, TallahasseeChrist Episcopal Church, Cedar KeyChrist Episcopal Church, MonticelloChrist Episcopal Church, PVBChurch of the Advent, TallahasseeChurch of the Ascension, CarrabelleChurch of the Holy Comforter, Crescent CityChurch of the Holy Communion, HawthorneChurch of the Mediator, MicanopyEmmanuel Episcopal Church, WelakaEpiscopal Church of the Good Shepherd, JacksonvilleEpiscopal Church of the Redeemer, JacksonvilleGrace Episcopal Church, Orange ParkGrace Mission Episcopal Church, TallahasseeHoly Comforter Episcopal Church, TallahasseeHoly Trinity Episcopal Church, GainesvilleResurrection Episcopal Church, JacksonvilleSan Jose Episcopal Church, JacksonvilleSt. Alban's Episcopal Church, ChieflandSt. Andrew's Episcopal Church, JacksonvilleSt. Andrew's Episcopal Church, InterlachenSt. Barnabas Episcopal Church, WillistonSt. Bartholomew's Episcopal Church, High SpringsSt. Catherine's Episcopal Church, JacksonvilleSt. Cyprian's Episcopal Church, St. AugustineSt. Elizabeth's Episcopal Church, JacksonvilleSt. Francis in-the-Field Episcopal Church, Ponte VedraSt. Gabriel's Episcopal Church, JacksonvilleSt. George Episcopal Church, JacksonvilleSt. James Episcopal Church, Lake CitySt. James Episcopal Church, PerrySt. John's Cathedral, JacksonvilleSt. John's Episcopal Church, TallahasseeSt. Joseph's Episcopal Church, NewberrySt. Luke's Episcopal Church, Live OakSt. Luke's Episcopal Church, JacksonvilleSt. Mark's Episcopal Church, JacksonvilleSt. Mark's Episcopal Church, PalatkaSt. Mark's Episcopal Church, StarkeSt. Mary's Episcopal Church, MadisonSt. Mary's Episcopal Church, Green Cove SpringsSt. Mary's Episcopal Church, PalatkaSt. Mary's Episcopal Church & Outreach Ministries, JacksonvilleSt. Matthews Episcopal Church, MayoSt. Michael & All Angels Episcopal Church, TallahasseeSt. Patrick's Episcopal Church, St. JohnsSt. Paul's By the Sea Episcopal Church, Jacksonville BeachSt. Paul's Episcopal Church, QuincySt. Paul's Episcopal Church, JacksonvilleSt. Paul's Episcopal Church of Federal Point, HastingsSt. Peter's Episcopal Church, Fernandina BeachSt. Peter's Episcopal Church, JacksonvilleSt. Philip's Episcopal Church, JacksonvilleSt. Thomas Church of Flagler County, Palm CoastThe Episcopal Church of Our Saviour, JacksonvilleTrinity Episcopal Church, St. AugustineTrinity Episcopal Church, MelroseRegion(Required)SelectApalachee RegionFirst Coast Region EastFirst Coast Region WestPrison MinistriesRiver RegionSanta Fe RegionChurch Where You Wish To Be Licensed(Required)SelectAll Saints Episcopal Church, JacksonvilleBethany Episcopal Church, HilliardChapel of the Incarnation, GainesvilleChapel of the Resurrection, EUC@FSU, TallahasseeChrist Episcopal Church, Cedar KeyChrist Episcopal Church, MonticelloChrist Episcopal Church, PVBChurch of the Advent, TallahasseeChurch of the Ascension, CarrabelleChurch of the Holy Comforter, Crescent CityChurch of the Holy Communion, HawthorneChurch of the Mediator, MicanopyEmmanuel Episcopal Church, WelakaEpiscopal Church of the Good Shepherd, JacksonvilleEpiscopal Church of the Redeemer, JacksonvilleGrace Episcopal Church, Orange ParkGrace Mission Episcopal Church, TallahasseeHoly Comforter Episcopal Church, TallahasseeHoly Trinity Episcopal Church, GainesvilleResurrection Episcopal Church, JacksonvilleSan Jose Episcopal Church, JacksonvilleSt. Alban's Episcopal Church, ChieflandSt. Andrew's Episcopal Church, JacksonvilleSt. Andrew's Episcopal Church, InterlachenSt. Barnabas Episcopal Church, WillistonSt. Bartholomew's Episcopal Church, High SpringsSt. Catherine's Episcopal Church, JacksonvilleSt. Cyprian's Episcopal Church, St. AugustineSt. Elizabeth's Episcopal Church, JacksonvilleSt. Francis in-the-Field Episcopal Church, Ponte VedraSt. Gabriel's Episcopal Church, JacksonvilleSt. George Episcopal Church, JacksonvilleSt. James Episcopal Church, Lake CitySt. James Episcopal Church, PerrySt. John's Cathedral, JacksonvilleSt. John's Episcopal Church, TallahasseeSt. Joseph's Episcopal Church, NewberrySt. Luke's Episcopal Church, Live OakSt. Luke's Episcopal Church, JacksonvilleSt. Mark's Episcopal Church, JacksonvilleSt. Mark's Episcopal Church, PalatkaSt. Mark's Episcopal Church, StarkeSt. Mary's Episcopal Church, MadisonSt. Mary's Episcopal Church, Green Cove SpringsSt. Mary's Episcopal Church, PalatkaSt. Mary's Episcopal Church & Outreach Ministries, JacksonvilleSt. Matthews Episcopal Church, MayoSt. Michael & All Angels Episcopal Church, TallahasseeSt. Patrick's Episcopal Church, St. JohnsSt. Paul's By the Sea Episcopal Church, Jacksonville BeachSt. Paul's Episcopal Church, QuincySt. Paul's Episcopal Church, JacksonvilleSt. Paul's Episcopal Church of Federal Point, HastingsSt. Peter's Episcopal Church, Fernandina BeachSt. Peter's Episcopal Church, JacksonvilleSt. Philip's Episcopal Church, JacksonvilleSt. Thomas Church of Flagler County, Palm CoastThe Episcopal Church of Our Saviour, JacksonvilleTrinity Episcopal Church, St. AugustineTrinity Episcopal Church, MelrosePlease provide a summary of your continuing education and how it was beneficial to your ministry:(Required)Describe your ministry inside the church:(Required)Describe your ministry outside the church:(Required)Do you wish to discuss your assignment with the archdeacons?(Required) Yes No Please complete this section to help determine cure as defined by diocesan canons. Completion of this section does not impact your voting rights.SECTION 4. Cure. For the purposes of this Canon 1, "cure" refers to the leadership and pastoral responsibility undertaken by clergy within the Diocese. Clergy with cure include: Clergy who are heads of diocesan congregations and ministries who are canonically resident or licensed by the Ecclesiastical Authority; full and part-time associate priests who participate in a minimum of 12 Eucharists per year in the Diocese and are canonically resident by the Ecclesiastical Authority; deacons assigned to the diocesan congregations and ministries by the Ecclesiastical Authority; and military chaplains canonically resident in this Diocese.Holy Communion: OfficiantHoly Communion: AssistedChoir Offices: OfficiantChoir Offices: AssistedBaptisms: OfficiantBaptisms: AssistedMarriages: OfficiantMarriages: AssistedFuneral: OfficiantFuneral: AssistedOther: OfficiantOther: AssistedAuthorizationEnter your full name below to serve as a digital signature. By signing this form, you certify that the information is correct and (where appropriate) are applying for a renewal of your license to function as a deacon in the Diocese of Florida and/or wish to remain in your present tenure. You are also certifying compliance with the completion of required training in the prevention of sexual misconduct against both children and adults (Safe Church).Today's Date(Required) Month Day Year Digital Signature(Required) Full Name of Signatory Sample Letter Requesting a License for up to One YearDate ___________ The Standing Committee Dear Rev. Yawn, As I am at or beyond the age of 72, I am writing to you in accordance with Canon III Sec. 7 which requires as a deacon that I retire from active service in the Church. I am currently assigned to ______________________________. With your permission and the concurrence of the rector/vicar, I would like to continue to serve in my role as deacon for the year 20__ . Thank you for your consideration. Peace, CC: Rector / Priest