COMPANIONS OF SAINT GEMMA – SERVANTS OF THE HOLY CROSS

MEMBERSHIP FORM
(Regular)
2x2 picture
Date of Application: ____________________________

Name: ______________________________________________________

Address:_____________________________________________________________________
______________________________________________________________________________

Contact Number/s: 1.) __________________________________________

2.) _________________________________________

Date of Birth: ________________________________________________

Place of Birth: ________________________________________________

Gender: __________________________________

Religion: __________________________________

Confirmed

Civil Status: _______________________________

For married applicant: (please check)

Church Rites

Civil Rites

Occupation: ______________________________________________________

Parish: ___________________________________________________________
Affiliations:

Religious/Civic Organization Position

Why do you want to join the group?

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

__________________________________

SIGNATURE OVER PRINTED NAME

Companions:

1.) _______________________________________________
2.) _______________________________________________

Evaluation Date: _________________________________

Approved by:

___________________________________
Membership Committee Head

___________________________________
President

Membership Number: ___________________________

Date of Enrollment: _____________________________