Application Form

     Extraordinary Minister of Holy Communion

   St. Francis by the Sea Catholic Church

 

 

_____________________                  ____________________________                  ______________

First Name                                          Last Name                                                        Application Date

 

___________________________      ________________________            _____        ____________

Mailing Address                                 City                                                     State          Zip Code

 

_______________________              ________________________            _____________________

Home Phone                                       Work Phone                                        Other

 

_______________________              ________________________

Email Address                                                Nbr. Years at St. Francis

 

 

Are you currently employed?             ¨  Employed  ¨  Retired       ¨  Other____________________

 

 

Marital Status?            ¨ Single          ¨  Married      ¨ Divorced 

                                    If married, where and what year? _____________________________________

 

 

 

As you may know, according to the guidelines of the Church, Extraordinary Ministers of the Eucharist

must be commissioned by the Pastor, as directed by the Bishop.  In these days of secularism, we must

firmly believe in the Real Presence in the Eucharist and be good practicing Catholics (e.g. attend Mass

weekly and frequent use of the Sacrament of Penance).  We must always distribute the Body and

Blood of our Lord, Jesus Christ with the utmost honor and reverence.

 

Have you ever served as an Extraordinary Minister of the Eucharist in another parish? ¨  Yes      ¨  No  

            If yes, where?  ___________________________________________________

 

Which Mass do you regularly attend?            ¨ Sat. 5:30       ¨ Sat. 7:00 

¨ Sun 7:30       ¨ Sun 9:00  ¨ Sun 10:30    ¨ Sun 12:15

 

Are you interested in bringing Communion to the sick?          ¨  Yes          ¨  No  

If yes, which day(s) would you be available?  ________________________________________________

 

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