Extraordinary Minister of Holy Communion Form

Extraordinary Minister of Holy Communion Form
Name

First NameLast Name
Address

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Email
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YESNO
YESNO
YESNO
My commission as an Extraordinary Minister of Holy Communion will be for:
My ParishCatholic SchoolCampus MinistryHospital or Prison
Note: If your EM certification was obtained more than 3 years ago, you will need to retake the class.
I testify by my answers and signature below that I am qualified to serve as an Extraordinary Minister of Holy Communion in the Catholic Church.
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