RCIA (Initial Information)

RCIA (Initial Information)

The RCIA Program runs out of the parish at 7:00 pm once a week for about 6-7 months starting in the Fall each year with completion at Easter. It is for participants, ages 16 and up.
PERSONAL INFORMATION
Applicant's Name:*

First Name Middle NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Contact Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:*
example@example.com
Date of Birth:*

MonthDayYear
Date
Place of Birth: (Town/City, Province, Country*
Father's Name:*

First Name Middle NameLast Name
Father's Religious affiliation:*
Mother's Birth Name:*

First Name MiddlenameMaiden Name
Mother's Religious affiliation:*
Have you ever been baptized?*

YESNO
IF "YES", in what religion?*
Date of Baptism:*

MonthDayYear
Date
Church of Baptism:*
PLEASE ATTACH YOUR BAPTISMAL CERTIFICATE (IF BAPTIZED ONLY)*

(.PDF, .JPG, .PNG FORMATS ONLY)
Cancelof
Religion currently practicing:*

PERSONAL INFORMATION