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Confirmation Candidate Form
The maximum number of form submissions has been reached. This form is currently not available.
Please complete and submit the form below at least two weeks prior to the scheduled Confirmation with your parish. If you have not already done so, submit a copy of the baptismal certificate to
Lexie Shoemaker
in the Office of the Bishop.
Please select your parish:
REQUIRED
(Select One)
Blessed Sacrament, Allegan
Holy Angels, Sturgis
Holy Family, Decatur
Holy Maternity of Mary, Dowagiac
Immaculate Conception, Hartford
Immaculate Conception, Three Rivers
Our Lady of Fatima Mission, Union City
Our Lady of Great Oak Mission, Bellevue (Lacey)
Our Lady of the Lake, Edwardsburg
Our Lady Queen of Peace, Bridgman
Sacred Heart Mission, Allegan (Watson)
Sacred Heart, Bangor
Sacred Heart of Mary, Dowagiac (Silver Creek)
San Felipe de Jesus, Fennville (Pearl)
SS. Cyril & Methodius, Wayland (Gun Lake)
SS. John & Bernard, Benton Harbor
St. Agnes, Sawyer
St. Ambrose, Delton
St. Ambrose, Parchment
St. Ann, Augusta (Gull Lake)
St. Ann, Cassopolis
St. Anthony, Buchanan
St. Augustine Cathedral, Kalamazoo
St. Barbara, Colon
St. Basil, South Haven
St. Catherine of Siena, Portage
St. Charles Borromeo, Coldwater
St. Clare, Centreville
St. Cyril, Nashville
St. Edward, Mendon
St. Gabriel, Berrien Springs
St. Jerome, Battle Creek
St. John Bosco, Mattawan
St. John the Evangelist, Albion
St. Joseph, Battle Creek
St. Joseph, Kalamazoo
St. Joseph, St. Joseph
St. Joseph, Watervliet
St. Joseph, White Pigeon
St. Jude, Gobles
St. Margaret Mary, Marcellus
St. Margaret, Otsego
St. Mark, Niles
St. Martin of Tours Vicksburg
St. Mary, Kalamazoo
St. Mary, Marshall
St. Mary, Paw Paw
St. Mary of the Assumption, Three Oaks
St. Mary of the Immaculate Conception, Niles
St. Mary of the Lake, New Buffalo
St. Mary’s Assumption, Bronson
St. Mary’s Visitation, Byron Center (New Salem)
St. Monica, Kalamazoo
St. Peter, Douglas
St. Philip, Battle Creek
St. Rose of Lima, Hastings
St. Stanislaus, Dorr (Hilliards)
St. Therese of Lisieux, Wayland
St. Thomas More, Kalamazoo
Please fill out this field.
Required information about the Candidate:
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Full Name at Baptism - if different from current name
Please enter valid data.
Chosen Confirmation Name
REQUIRED
Please fill out this field.
Please enter valid data.
Age as of the date of confirmation
REQUIRED
Please fill out this field.
Please enter an integer (number).
Church of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Church of Baptism Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Name of Country if not United States
Please enter valid data.
If not baptized Catholic, Parish and date in which they were received into full communion
Please enter valid data.
Date of Baptism
REQUIRED
Please fill out this field.
Please enter a date.
Current Home Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Father's First and Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's First and MAIDEN Name
REQUIRED
Please fill out this field.
Please enter valid data.
Sponsor's First and Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Please note: Sponsors (or proxy) may not be a parent or step-parent. If a proxy will be used, please inform the Diocese as soon as possible.
Has the candidate received First Holy Communion?
REQUIRED
Yes
No
Please fill out this field.
Submit
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