Application for 2017/19 Cohort

The link for the application is below. Please read these instructions prior to starting the application.

Prior to accessing the application form, review the following so you have the required information at hand to complete the form in its entirety:

1. Speak with your pastor to receive parish support (if applicable).

2. Read the materials on our website:

  • What is IMPACT
  • Session Topic, Dates, Locations
  • Expectations
  • Brochure
  • Information sessions

3. You will be asked the following:

  • Name, address, telephone number, and email address
  • Gender, age and marital status
  • How long you have been Catholic
  • How you heard about the program
  • Reasons for wanting to be a part of this program
  • Understanding and acceptance of the requirements for the coming year
  • Anything else you want us to know about you or your faith journey
  • Your parish/cluster name and address

The average time to complete the application is approximately 15 minutes.

Please complete and submit the IMPACT application by July 31, 2017 (we may review applications after August 1st, depending on space availability and other deadline considerations).

The Archdiocese maintains safeguards to protect your personal information. Any information provided will be used solely by the Archdiocese of Dubuque.

Specific Directions to complete the application form:

  • At the login screen, select the Guest Account and then click login to access the Application Form.
  • Use your TAB key to move forward and shift/TAB to move backward. Data entry is permitted in the yellow shaded fields. The right/left arrow keys are used when you tab to a green shaded area. Safari browser users must hold the OPTION key with the TAB key to access a green shaded area. If you click your mouse in error or cannot find you cursor, hit your tab key and the cursor will return to the First Name field.
  • When you have the form completed, click the “Submit” button at the bottom of the page. You will receive a message stating that your form has been submitted to the Archdiocese. For added security, we recommend you exit your browser completely so click on the “Click to Exit” button.

If you have any questions, please contact Lynne at 563-556-2580 ext 246 or email at [email_arch]dbqcafsec[/email_arch]

Click here to apply to the IMPACT program!