If you are interested, please print out form, complete requested information

and return completed form to the parish office.  Attn: EM Coordinator

       Eucharistic Minister Profile    

Date:_____________________

Last Name:______________________________First:_________________________

Street Address:________________________________________________________

City:_______________________________________Zip:______________________

Email:_______________________________________________________________

Home Phone:_________________________________________________________

Work Phone(if OK to call):______________________________________________

Cell Phone(if OK to call):_______________________________________________

Personal Reference Within the Parish:______________________________________

First Preference *

Mass Time Team:

circle one:    5:30 pm Saturday   7:30 am Sunday   9:00 am Sunday

11:00 am Sunday     5:30 pm Sunday

Second Preference*

Mass Time Team:

circle one:    5:30 pm Saturday   7:30 am Sunday   9:00 am Sunday

11:00 am Sunday     5:30 pm Sunday

*(We will try to accommodate your first preference whenever possible.)

Family members involved in liturgical ministry: lector, eucharistic minister, usher,

9 am choir, 11 am choir, 5:30 pm choir, children = s choir, children = s liturgy of the word,

9 am childcare provider at church, catechist or aide for Preschool on Sunday

Their Name:             Their Ministry:

_________________________________________________________________________

_________________________________________________________________________

__________________________________________________________________________

Please contact Moira Arjani with any questions or for more information:

                818-236-3661    or      em@bede.org