Family Census

Person 1

Name

Submit a picture of yourself

Upload (8MB)

Submit a family Photo

Upload (8MB)

Middle Name

(Maiden Name)

Date of Birth

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

This address will receive a confirmation email

Phone

Address

How were you received into the Orthodox Church

Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish?

Yes No

Marital Status

Single Engaged Married Widowed Separated Divorced

Date of Marriage

How many marriages have you had?

Never Married 1 2 3 More than 3

Please list other people you are related to in the parish and your relationship to them (e.g. Michael Smith is Mary's maternal uncle), who are not part of your immediate nuclear family. (Include your parents)

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 2

First Name

Last Name

Middle Name

Submit a photo of this person

Upload (8MB)

(Maiden Name)

Date of Birth

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address (if different from person 1)

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Marital Status Single Engaged Married Widowed Separated Divorced

Date of Marriage

How many marriages have you had? Never Married 1 2 3 More than 3

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 3

First Name

Last Name

Middle Name

Submit a photo of this person

Upload (8MB)

(Maiden Name)

Date of Birth

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Marital Status Single Engaged Married Widowed Separated Divorced

Date of Marriage

How many marriages have you had? Never Married 1 2 3 More than 3

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 4

First Name

Last Name

Middle Name

(Maiden Name)

Date of Birth

Submit a photo of this person

Upload (8MB)

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Marital Status Single Engaged Married Widowed Separated Divorced

Date of Marriage

How many marriages have you had? Never Married 1 2 3 More than 3

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

Current grade in School

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 5

First Name

Last Name

Middle Name

Submit a photo of this person

Upload (8MB)

(Maiden Name)

Date of Birth

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Marital Status Single Engaged Married Widowed Separated Divorced

Date of Marriage

How many marriages have you had? Never Married 1 2 3 More than 3

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 6

First Name

Last Name

Middle Name

Submit a photo of this person

Upload (8MB)

Date of Birth

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 7

First Name

Last Name

Middle Name

Date of Birth

Submit a photo of this person

Upload (8MB)

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 8

First Name

Last Name

Middle Name

Date of Birth

Submit a photo of this person

Upload (8MB)

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

Have you been ordained to any minor or major orders in the Orthodox Church or any other church? Please include ordination dates.

Occupation and Employer

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School Trade School Associate's Degree Bachelor's Degree Master's Degree Doctorate

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

Person 9

First Name

Last Name

Middle Name

Date of Birth

Submit a photo of this person

Upload (8MB)

Baptism Name/Patron Saint (write "unknown" if you do not know or "N/A" if you were not given one

When is your Name's Day?

Phone

Address

How were you received into the Orthodox Church? Baptism & Chrismation as an infant Baptism & Chrismation as an adult Chrismation only Other Not Orthodox

Date of Baptism and/or Chrismation

Do you belong to another Orthodox Parish? Yes No

School(s)

Current grade in School

What is the last level of education completed? Elementary Middle School High School

What gifts do you have that you can share with the Church? (e.g. singing, cooking, cleaning, carpentry, teacher, etc.)

Is there anything else you would like us to know about you?

If you have more people in your family, please submit aother form and in the section comcerning relatives in the parish, please note: "This form is a continuation for the __________ _________ family."

Description

Thank you for filling out our Family Census form!

This census is not a "membership form," but simply a way to keep track of all of our parishioners, catechumens, and inquirers. The information given will be used solely to better ministry to you (and your family).

To become a "member in good standing," please speak to Fr. Joseph Hazar about the requirements set forth by the Archdiocese and/or parish.

Some of the information below is sensitive and we will not share it with anyone. It is a way for the clergy to get to know you better so that we can serve your needs.

This form is only a one-time thing, so if you ever have any changes or updates, please let Fr. Joseph know.

Family Census

Description

Please Fix the Following