October 20, 2014 Catechetical Service Awards 2020 – Application Step 1 of 32 - Parish Information 3% Applications will not be accepted unless ALL information is complete Parish Information Parish and Parish Town*Please choose your Parish and TownAssumption of the Blessed Virgin Mary, CentereachBlessed Sacrament, Valley StreamChrist the King, CommackCorpus Christi, MineolaCure of Ars, MerrickGood Shepherd, HolbrookHoly Cross, NesconsetHoly Family, HicksvilleHoly Name of Jesus, WoodburyHoly Name of Mary, Valley StreamHoly Spirit, New Hyde ParkImmaculate Conception, Westhampton BeachInfant Jesus, Port JeffersonMaria Regina, SeafordMary Immaculate, BellportMost Holy Trinity, East HamptonNotre Dame, New Hyde ParkOur Holy Redeemer, FreeportOur Lady of Fatima, ManorhavenOur Lady of Good Counsel, InwoodOur Lady of Grace, West BabylonOur Lady of Hope, Carle PlaceOur Lady of Loretto, HempsteadOur Lady of Lourdes, MalverneOur Lady of Lourdes, Massapequa ParkOur Lady of Lourdes, West IslipOur Lady of Mercy, HicksvilleOur Lady of Mount Carmel , PatchogueOur Lady of Ostrabrama, CutchogueOur Lady of Peace, LynbrookOur Lady of Perpetual Help, LindenhurstOur Lady of Poland, SouthamptonOur Lady of the Assumption, CopiagueOur Lady of the Isle, Shelter Island HeightsOur Lady of the Miraculous Medal, Point LookoutOur Lady of the Miraculous Medal, WyandanchOur Lady of the Snow, Blue PointOur Lady of Victory, Floral ParkOur Lady Queen of Martyrs, CenterportQueen of the Most Holy Rosary, BridgehamptonQueen of the Most Holy Rosary, RooseveltResurrection, FarmingvilleSacred Heart, CutchogueSacred Heart, Island ParkSacred Heart, North MerrickSacred Hearts of Jesus and Mary, SouthamptonSS Philip and James, Saint JamesSs. Cyril and Methodius, Deer ParkSS. Peter and Paul, ManorvilleSt. Agnes Cathedral, Rockville CentreSt. Agnes, GreenportSt. Aidan, Williston ParkSt. Aloysius, Great NeckSt. Andrew, Sag HarborSt. Anne , Garden CitySt. Anne, BrentwoodSt. Anthony of Padua, East NortportSt. Anthony of Padua, Rocky PointSt. Anthony, OceansideSt. Barnabas the Apostle, BellmoreSt. Bernard, LevittownSt. Boniface Martyr, Sea CliffSt. Boniface, ElmontSt. Brigid, WestburySt. Catherine of Sienna, Franklin SquareSt. Christopher, BaldwinSt. Dominic, Oyster BaySt. Edward the Confessor, SyossetSt. Elizabeth Ann Seton, Lake RonkonkomaSt. Elizabeth of Hungary , MelvilleSt. Frances Cabrini, CoramSt. Frances de Chantal, WantaghSt. Frances de Sales, PatchogueSt. Francis of Assisi, GreenlawnSt. Gerard Majella, Port Jefferson StationSt. Gertrude, BayvilleSt. Hedwig, Floral ParkSt. Hugh of Lincoln, Huntington StationSt. Hyacinth, Glen HeadSt. Ignatius Loyola , HicksvilleSt. Ignatius Martyr, Long BeachSt. Isadore, RiverheadSt. James, SeafordSt. James, SetauketSt. Joachim, CedarhurstSt. John Nepomucene, BohemiaSt. John of God , Central IslipSt. John the Baptist, Wading RiverSt. John the Evangelist, Center MorichesSt. John the Evangelist, RiverheadSt. Joseph the Worker, East PatchogueSt. Joseph, BabylonSt. Joseph, Garden CitySt. Joseph, HewlettSt. Joseph, Kings ParkSt. Joseph, RonkonkomaSt. Jude, Mastic BeachSt. Kilian, FarmingdaleSt. Ladislaus, HempsteadSt. Lawrence the Martyr, SayvilleSt. Louis de Montfort, Sound BeachSt. Luke , BrentwoodSt. Margaret of Scotland, SeldenSt. Mark, ShorehamSt. Martha, UniondaleSt. Martin of Tours, AmityvilleSt. Martin of Tours, BethpageSt. Mary of the Isle, Long BeachSt. Mary, East IslipSt. Mary, ManhassetSt. Mary, RoslynSt. Matthew, Dix HillsSt. Patrick, Bay ShoreSt. Patrick, Glen CoveSt. Patrick, HuntingtonSt. Patrick, SmithtownSt. Patrick, SoutholdSt. Paul the Apostle, BrookvilleSt. Peter of Alcantara, Port WashingtonSt. Peter the Apostle, Islip TerraceSt. Philip Neri, NorthportSt. Pius X, PlainviewSt. Raphael, East MeadowSt. Raymond, East RockawaySt. Rocco, Glen CoveSt. Rosalie, Hampton BaysSt. Rose of Lima, MassapequaSt. Sylvester, MedfordSt. Therese of Lisieux, MontaukSt. Thomas More, HauppaugeSt. Thomas the Apostle, West HempsteadSt. Vincent de Paul, ElmontSt. William the Abbot, SeafordOutside of Diocese of Rockville CentreSpanish ApostolateContact Person* Title Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Sr.Dcn.DRECREARE First Last Email* Phone* Awardee Information Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Award Selection - 1Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application. Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 2Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Second Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 3Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Third Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 4Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Fourth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 5Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Fifth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 6Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Sixth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 7Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Seventh Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 8Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Eighth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 9Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Ninth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 10Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Tenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 11Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Eleventh Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 12Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twelfth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 13Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Thirteenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 14Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Fourteenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 15Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Fifteenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 16Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Sixteenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 17Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Seventeenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 18Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Eighteenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 19Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Nineteenth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 20Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twentieth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 21Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-first Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 22Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-second Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 23Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-third Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 24Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-Fourth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 25Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-Fifth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 26Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-Sixth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 27Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-Seventh Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 28Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-Eighth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 29Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Twenty-Ninth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue Would you like to register another awardee* Yes No Awardee Application - 30Name* Salutation Dr.MissMr.Mrs.Ms.Prof.Rev.Fr.Br.Sr.Dcn. First Last Please note: salutations are only printed if the person is a Dr., Clergy or ReligiousAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Enter Email Confirm Email Thirtieth Award Application* St. Paul VI Award - 5 Years St. Pius X Award - 10 Years St. Joseph Award - 15 Years St. Elizabeth Ann Seton Award - 20 Years St. John XXIII Award - 25 Years St. Paul II Award - 30 Years Mother Cabrini Award - 35 Years and Up Distinguished Service Award - 10 years, 15 years, 20 years, 30 years and Up Please choose an award application Please note: *5 Year awards will be awarded at the parish. Certificates and medals will be sent to the parish.Number of years awardee has servedI hereby state that I have contributed (30, 35, 40, etc. - in 5-year increments only) years of volunteer service in faith formation. Ceremony SelectionPlease choose which ceremony your parish is attending:* Thursday, October 26, 2023, at 7:00 p.m. - Cathedral of St. Agnes, Rockville Centre Sunday, October 29, 2023, at 2:00 p.m. – Church of St. Rosalie, Hampton Bays Sunday, November 5, 2023, at 3:00 p.m. - Church of Our Lady of Mount Carmel, Patchogue THIS SECTION TO BE COMPLETED BY PARISH: Total Number of Awardees*Signature of Person Filling Out Form*Name Title Dr.MissMr.Mrs.Ms.Prof.Rev.ARECREDRE First Last Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.