Application for St.

Joseph Parish
Discipleship Preparation Program
Year Two

APPLICANTS INFORMATION

FULL NAME:______________________________________________________
First

Middle

Last

ADDRESS:________________________________________________________
Street Address

CITY/STATE/ZIP: __________________________________________________
HOME TELEPHONE:_______________________________________________
STUDENTS E-MAIL:____________________________________________
DATE OF BIRTH:___________________
MM/DD/YYYY

PLACE OF BAPTISM: ______________________________________________

DOES ST. JOSEPH HAVE COPY OF BAPTISMAL CERTIFICATE?
___YES ___NO
If no, please be sure to bring a copy to Faith Formation Office as soon as possible.

I have received the Sacrament of Penance

I have received the Sacrament of Holy Communion

___YES ___NO
___YES ___NO

SCHOOL ATTENDING:_____________________________________________
GRADE IN SEPTEMBER 2014:_______________________________________
DID YOU ATTEND PREP I LAST YEAR? Y / N
OR
DO YOU ATTEND CATHOLIC SHOOL? Y / N
PLEASE TURN OVER TO COMPLETE OTHER SIDE

PARENTS INFORMATION

FATHERS FULL NAME:____________________________________________

First

DAYTIME PHONE: ( )

Middle

Last

CELL PHONE:( )_______________

MOTHERS FULL NAME:___________________________________________

First

Middle

Last

MOTHERS MAIDEN NAME:________________________________________

DAYTIME PHONE: ( )

CELL PHONE: ( )______________

FAMILY E-MAIL:_________________________________________________
Most of our communication is done via emailplease be sure we have a current email for you.