Background Information

Teen Applicant

Full Name *

Birth Date * +

Grade (Fall of 2020) *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Parent/Legal Guardian 1

Parent/Legal Guardian's 1 Full Name *

Parent/Legal Guardian's 1 Phone Number *

Parent/Legal Guardian's 1 Email Address *

Parent/Legal Guardian 2

Parent/Legal Guardian's 2 Full Name

Parent/Legal Guardian 2 Phone Number

Parent/Legal Guardian 2 Email Address

Is your family registered parishioners at Holy Rosary? *

All emails and texts to minors will include parents and/or youth ministry adult volunteers. Can we contact your teen via email to set-up an interview? *