Extraordinary Ministers of Holy Communion

New request Form

Name of Pastor Requesting

First Name

Last Name

Primary Address

Please list the address of your primary parish office.

Email Address (Parish/Pastor)

Name of AFC

Within Mass EMHC Appointments

Please list by parish. These are persons that will help distribute communion during the Mass.

Outside of Mass EMHC Appointments

Please list by parish. These are persons that will help distribute communion outside of the Mass, ex. bringing communion to the sick.

Exposition/Reposition EMHC Appointments

Please list by parish. These are persons that may expose/repose the blessed sacrament for Eucharistic adoration.

Are the Candidates fully initiated Catholics of at least 18 years of age?

ie. Baptism, Eucharist, Confirmation

Yes

Are the Candidates practicing Catholics in good standing with the Church?

Yes

I verify that as Pastor I will provide adequate training for appointed Extraordinary Ministers of Holy Communion.

Yes

Today's Date

YYYY