Census 2000 Form

Welcome to the MDG Online Census form for 2000.  This online form offers your family an easy way to submit your census information to the Church.  

Family Information:

Family Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Years this Address
Home Phone
E-mail
Date of Marriage
Church of Marriage

Head of Household (Primary):

First Name
Middle Initial
Last Name
Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?



Head of Household (Secondary):

First Name
Middle Initial
Last Name
Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Children At Home:

Child 1:

First Name
Middle Initial
Last Name
Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?

 

Child 2:

First Name
Middle Initial
Last Name
Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Child 3:

First Name
Middle Initial
Last Name
Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Child 4:

First Name

Middle Initial

Last Name

Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:

Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Child 5:

First Name

Middle Initial

Last Name

Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Child 6:

First Name

Middle Initial

Last Name

Maiden Name

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Others Living At Home:
Other #1

First Name

Middle Initial

Last Name

Relationship

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?


Other #2

First Name

Middle Initial

Last Name

Relationship

Sex


Enter Date of Birth :
-- mm/dd/yy

Racial or Ethnic Background:
 Has this person ever been baptized Catholic?

How often does this person attend Mass?

Has this person been Confirmed?
 

How often does this person receive Communion?

Enter highest Grade completed or Degree Received or Present Grade.

Marital Status:

Occupation and Employer or Name of School or Retired?

Does this person have any handicapping conditions? If so What is it?