Request for Catechist Certificate

Request for Catechist Certificate

Please use this form to request a Level 1 and/or Level 2 certificate for catechists who have completed certification requirements. Please fill out one form for each catechist.
Catechist Name*

First NameLast Name
Which Certificate are you requesting for this catechist?*

Level 1Level 2BothRenewal
Please enter the name of your parish*
Parish Address*

Street Address

Street Address Line 2

Parish CityState / Province

Postal / Zip Code
Pastor's Name*
Name of D/CRE*
First Name, Last Name
D/CRE Email Address*
example@example.com
Signature of the Director/Coordinator *

Clear
After submitting the form, you will receive an email confirming your submission. Please note the Director of Ministry Formation will verify qualifications via ArchNYLAB and may reach out if additional documentation is required.
Should be Empty: