Extraordinary Minister of Holy Communion
Interview Form
Please fill all fields and our coordinator will call you to follow up.
Name
*
Full Address
*
Phone (Home)
Format: (000) 000-0000.
Phone (Work)
Phone(Cell)
*
Format: (000) 000-0000.
Email
*
example@example.com
Are you 16 or more years of age?
*
Yes
No
Are you registered in the parish (of St. Lawrence)?
*
Yes
No
Have you celebrated Baptism (or made a Profession of Faith, if baptized in another Christian denomination)?
*
Yes
No
Have you celebrated First Penance/Reconciliation?
*
Yes
No
Have you celebrated First Holy Communion?
*
Yes
No
Have you celebrated Confirmation?
*
Yes
No
What is your Marital Status?
*
Single
Engaged
Married
Separated
Widowed
Divorced
If married or engaged, is this or will it be your first marriage?
*
Yes
No
If married or engaged, is this or will it be your spouse/fiancées first marriage?
*
Yes
No
If married or engaged, were you or will you be married by a Catholic Bishop, priest, or deacon in a Catholic church? (or have you received the proper dispensation?)
*
Yes
No
Using a scale of 1-4, please indicate your preference for serving at the Saturday 5PM Vigil Mass.
*
Using a scale of 1-4, please indicate your preference for serving at the Sunday 8AM Mass.
*
Using a scale of 1-4, please indicate your preference for serving at the Sunday 10AM Mass.
*
Using a scale of 1-4, please indicate your preference for serving at the Sunday 12:30PM Mass.
*
Please indicate how often you would like to serve, when possible.
*
Once per month
Twice per month
Every week
Upload copies of any Sacrament and Marriage Certificates.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: