Date ______________

To The Standing Committee of the Diocese of Maine

We, whose names are hereunder written, do certify, after due inquiry, we are well assured and believe that

______________________________________________________________________

for the last three years has lived a sober, honest and godly life, and is loyal to the Doctrine, Discipline, and Worship of this Church, and does not hold anything contrary thereto. And, moreover, we think

______________________________________________________________________,

a person worthy to be admitted to the Sacred Order of Deacons. We set forth, in a letter or statement attached to this certificate, the grounds upon which we make our judgment of the applicant's qualifications.

SIGNED _______________________________________

Member of the Clergy in Charge of the Congregation to which Applicant belongs

VESTRY/BISHOP’S COMMITTEE OF THE CONGREGATION

_________________________________ __________________________________

_________________________________ __________________________________

_________________________________ __________________________________

_________________________________ __________________________________

_________________________________ __________________________________

(To be signed by a Majority of the Vestry/Bishop’s Committee)

ATTESTATION

I hereby certify that ___________________________________ is a member of this Congregation and a confirmed adult communicant in good standing; that the foregoing certificate was signed at a meeting of the Vestry/Bishop’s Committee of ______________________________________________________________________

(Name of Congregation)

duly convened at ____________________, Maine, on the ____ day of _______, _____, and that the names attached are those of all (or a two thirds majority of all) the members of the Vestry/Bishop’s Committee.

DATE ______________________ SIGNED _________________________________

Clerk of the Vestry/Bishop’s Committee

Attached is our statement concerning the applicant.