Lay Formation Program Application

BASIC INFORMATION
Profile picture
Filename
Status
Size
Add Files
Prefix

Mr. Mrs. Miss Ms. Dr.
Full Name

First Name
Last Name
Preferred Name

Address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Primary Phone
Phone Number
choose 1

Home Cell Other
Secondary Phone
Phone Number
choose 1

Home Cell Other
Email
Birthdate
Month - Day - Year
Place of birth
Church of Baptism
City of Baptism
Year of Baptism
Church of Confirmation
City of Confirmation
Current Marital Status

Single Married Widowed Divorced
If married, Church and City of Marriage
Date married
Month - Day - Year
Name of spouse

First Name
Last Name
Religion of spouse
Is your spouse in favor of you entering the program?

Yes No
Children
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
IN CASE OF EMERGENCY
Person to contact

First Name
Last Name
Phone
Phone Number
Relationship
Alternate

First Name
Last Name
Phone
Phone Number
Relationship
PRACTICE OF THE CATHOLIC FAITH
Parish
City
How many years have you lived in this parish?
Have you been away from the practice of the faith for any length of time?

YES NO
If YES, please describe briefly:
Have you participated in the "Protecting God's Children" training here in the Archdiocese?

YES NO
FAMILY HISTORY
Mother's name

First Name
Last Name
Choose 1

Living Deceased
Mother's place of birth
Father's name

First Name
Last Name
Choose 1

Living Deceased
Father's place of birth
Siblings
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
Name
Choose 1

Living Deceased
EDUCATION (No degrees are required to participate in the Lay Formation Program)
High School
Graduation year
Major
Degree
College
Graduation year
Major
Degree
Post-college
Graduation year
Major
Degree
Other Training
Graduation year
Major
Degree
EMPLOYMENT HISTORY
Are you working full time?

YES NO
If YES, occupation?
Are you working part time?

YES NO
If YES, occupation?
Are you retired?

YES NO
In addition to your employment history, do you have other experience, skills, or qualifications?

YES NO
If YES, please describe:
Have you participated in any form of volunteer work/service in your parish or community?

YES NO
If YES, please describe:
HEALTH HISTORY
Have you any concerns about your physical health that might impact your ability to participate fully in the Lay Formation Program?

YES NO
If YES, please describe briefly:
SPIRITUAL OPPORTUNITIES
Have you gone on a Retreat?

YES NO
If YES, how many days did the retreat last?
How often?
Do you have a Spiritual Director with whom you meet periodically?

YES NO
Have you participated in bible study?

YES NO
Have you taken classes in the faith?

YES NO
Have you sponsored someone for Baptism or entrance into the Catholic Church?

YES NO
Is there any other spiritual opportunity you have had that means a lot to you?

YES NO
If YES, please describe:
Why are you seeking admission to the Lay Formation Program?
Submission of this form fulfills the requirements for application of the Lay Formation Program

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20 Archbishop May Drive
St. Louis, MO 63119
314.792.7005

20 Archbishop May Drive | St. Louis, MO 63119 | 314.792.7005

Lay Formation Program Application

BASIC INFORMATION

Children

IN CASE OF EMERGENCY

PRACTICE OF THE CATHOLIC FAITH

FAMILY HISTORY

Siblings

EDUCATION (No degrees are required to participate in the Lay Formation Program)

EMPLOYMENT HISTORY

HEALTH HISTORY

SPIRITUAL OPPORTUNITIES

Submission of this form fulfills the requirements for application of the Lay Formation Program