Diocese of Salina
APPLICATION TO COMMISSION
Extraordinary Ministers of Holy Communion
Complete a separate application form for each parish/institution.
Mail completed application form to the Office of Liturgy
Parish/institution________________________________________, City__________________________
NAME OF CANDIDATE(S) MAILING ADDRESS
1.____________________________ ____________________________________________
2. ____________________________ ___________________________________________
3. ____________________________ ___________________________________________
4. ____________________________ ___________________________________________
5. ____________________________ ___________________________________________
6. ____________________________ ___________________________________________
7. ____________________________ ___________________________________________
8. ____________________________ ___________________________________________
9. ____________________________ ___________________________________________
10. ___________________________ ___________________________________________
Use reverse side of this form for names and addresses of additional candidates.
Training and instructions were/will be given by_________________________________________________________
Number of sessions________________
Description of the pastoral need for the above candidates:
Including the above-named candidates, our parish/institution will have the following number of active Extraordinary Ministers of Holy Communion: _________.
Date____________________________Approved by___________________________________________ Pastor/Chaplain