Confirmation Candidate Information Form

Please submit the following form no later than October 2, 2016.

Candidate’s Full Name-include Middle Name (As it will be spelled on Confirmation Certificate):
I have asked the following practicing Catholic to be my SPONSOR
Parish Sponsor attends (please include city & state, if not St. Susanna) ***Please note If your Sponsor is not a member of St. Susanna we will need a letter from their parish stating he/she is a registered and active member of the parish
SPONSOR'S Email
SPONSOR'S Contact Phone (cell) SPONSOR'S Contact Phone (cell) - ### - ### ####
SPONSOR'S Home Address SPONSOR'S Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please write a paragraph below explaining why you chose this person as your Sponsor for Confirmation