Adult sacrament Inquirer Form

Middle Name: REQUIRED Please fill out this field. Please enter valid data.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth: REQUIRED Please fill out this field. Please enter a date.

Place of Birth: REQUIRED Please fill out this field. Please enter valid data.

Name of Father: REQUIRED Please fill out this field. Please enter valid data.

Name of Mother (Please include maiden name): REQUIRED Please fill out this field. Please enter valid data.

CONTACT INFORMATION

Full Mailing Address: REQUIRED Please fill out this field.

Phone Number (Daytime) REQUIRED

Please fill out this field. Please enter a phone number.

Phone Number (Evening/Weekend) REQUIRED

Please fill out this field. Please enter a phone number.

Cell Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Religous Background

1. What, if any, is your present religious affiliation? REQUIRED Please fill out this field. Please enter valid data.

2. Have you ever been baptized? REQUIRED Yes No I am not sure Please fill out this field.

If you answered "Yes" to Question 2, please provide the following information:

(a) In what denomination were you baptized? REQUIRED Please fill out this field. Please enter valid data.

(B) Date or your approximate age when you were baptized: REQUIRED Please fill out this field. Please enter valid data.

(C) Baptismal name ( if different from current name): Please enter valid data.

(D) Place of Baptism (name of church/denomination) Please enter valid data.

(E) Address, if known: Please enter valid data.

(f) Location, if known: Please enter valid data.

(include locality (town, city, county, etc.), regin (state, province, territory, etc.), and country)

If you were baptized as a Catholic, check those sacraments you have already received: Penance (Confession) Eucharist (First Communion) Confirmation

Current Marital Status

Check the appropriate statement(s) below and provide any information requested beneath each statement.

1. Have you ever been married before? REQUIRED Yes, I am married and/or have been married before No, I have never been married Please fill out this field.

2. Do you live alone or with a girlfriend/boyfriend? REQUIRED I live alone. I live with my girlfriend/boyfriend. I am married and I live with my spouse Please fill out this field.

3. Are you currently engaged to be married? REQUIRED Yes (please answer a-d below, and then proceed to "Family Information") No, I am currently married (please proceed to number 4 below "I am married") No, I am not married nor engaged (please proceed to "Family Information") Please fill out this field.

(a) Your Fiancé'(e)s Name: Please enter valid data.

(b) Your Fiancé's Current Religous Affiliation (if any): Please enter valid data.

(c) For you: This is my first marriage. I have been married before.

(d) For your fiancé: My Fiancé's marriage/engagement with me is their first marriage My Fiancé has been married before.

(e) Are you currently living with your Fiancé? Yes No

4. I am married.

Please select the answer that defines your current situation. I am married, but separated from my spouse. I am divorced and I have not remarried. I am a widow/widower and have not remarried since my spouse's death.

If you are married but currently separated from your spouse, are you currently living with another person? Yes No

If you are divorced and have not remarried, are you currently living with another person? Yes No

If you are a widow and have not remarried since your spouse's death, are you currently living with another person? Yes No

(a) Your Spouse's Name: Please enter valid data.

(b) Your Spouse's Current Religious Affiliation (if any): Please enter valid data.

(c) For you: This is my first marriage. I have been married before.

(d) For your spouse: This is my spouse's first marriage. My spouse has been married before.

(e) Date of Marriage: Please enter valid data.

(f) Place of Marriage: Please enter valid data.

(include locality (town, city, county, etc.), region (state, province, territory, etc.), and country)

(g) Officiating Authority of Marriage: Please enter valid data.

(civil government, non-Christian minister, Christian minister, Catholic cleric)

FAMILY INFORMATION

List the name(s) of any children or other dependents (e.g., Daughter-Jane; Stepson-John).

Relationship: Name: Age:

GENERAL QUESTIONS

1. What or who has led you to want to know more about the Catholic Faith? REQUIRED Please fill out this field.

2. Please describe the types of religious education you have received, as a child and as an adult. REQUIRED Please fill out this field.

3. What contact have you had with the Catholic Church to date? REQUIRED Please fill out this field.

4. What are some of the questions or concerns you have about the Catholic Church? REQUIRED Please fill out this field.

At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church? (Please select one) REQUIRED A. I need much more information about the Catholic Church before I would consider joining. B. I am considering joining, but I am still unsure about it. C. I am fairly sure that I would like to join, but I still need some time to study and pray about it. D. I am fairly sure that I want to join the Catholic Church. Please fill out this field.

Do you have an idea of who you would like to be your sponsor?

A sponsor is required for anyone being confirmed. One godparent is required for anyone being baptized. For anyone being baptized and confirmed, the godparents can also serve as the confirmation sponsor.

The sponsor/godparent is required to attend all RCIA Rites. It is also preferred the sponsor/godparent attend all classes. We understand life can be hectic and are sympathetic to any sponsor/godparent who is not able to attend RCIA classes.

Please provide your sponsor's name if you are attending RCIA with the intention to become confirmed.

Sponsor's or Godparent's name: Please enter valid data.