RCIA Application Form

Title

First

Last

Suffix

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Date of Birth:

MonthDayYear

Place of Birth:

Father's Full Name:

First NameLast Name

Mother's Full Name (include Maiden Name):

First NameLast Name

Do you have children?

Are you baptized?

If Catholic, have you received the sacrament of Confirmation?

If Catholic, have you received the sacrament of First Communion?

Please check all that apply:

When you were a child, was your family religious?

Have you ever participated in another church or religion as an adult?

If you wish, describe any other people, places, objects or events in your life that you would identify as sacred.

Describe any experiences of serving others, whether among friends, family, at work or as a volunteer, that have affected your outlook on life.

Do you experience God in your life?

What has been your experience with prayer? Please mention any of the various styles or ways of prayer you have tried. If you currently have a regular practice of prayer, please describe how you pray now.

Are you familiar with the Bible?

Do you have a clear notion of who Jesus Christ is?

Are you familiar with the Catholic Church?

What or who has prompted you to seek religious instruction at this time? what are you looking for in coming to the Catholic Church? Please be specific.

What is your level of interest in the Roman Catholic Church?

Please explain:

Do you know any Catholics in this Parish?

Do you know anyone in the parish who would like to be your sponsor?

What you presently value in your life?

Is there any other way we might be of help to you? Do you have any specific questions, special needs or concerns at this time? Please feel free to write down any other information that you think would help our pastoral staff give you guidance you need to help your spiritual journey.

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