RCIA Personal Data Form
To be completed by all candidates and catechumens
PERSONAL DATA
First/Middle Names
*
First Name
Middle Name
Last/Maiden Names
*
Last Name
Maiden Name
Email
*
example@example.com
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth
City, State, Country
Father's Full Name
Mother's Full Name
include maiden name
Occupation
RELIGIOUS HISTORY
Are you baptized?
*
Yes
No
If you are baptized, which denomination?
Date of baptism
-
Month
-
Day
Year
Date
Name of church where baptized
Address of church where baptized
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you confirmed?
*
Yes
No
If you are confirmed, which denomination?
Name of church where confirmed
Address of church where confirmed
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you are Catholic, have you celebrated your First Communion?
Yes
No
Do you have access to your sacramental certificates?
Yes
No
If you are baptized and have access to your baptismal certificate, please upload a photo of it here.
Browse Files
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Choose a file
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of
If you are confirmed and have access to your confirmation certificate, please upload a photo of it here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
FAMILY SITUATION
Marital Status (check all that apply)
*
Never Been Married
Engaged
Married
Separated
Widowed
Divorced
Domestic Partnership
If engaged, what is the planned location of your marriage?
If engaged, what is the planned date of your marriage?
-
Month
-
Day
Year
Date
If married, divorced, or separated, check all that apply
Civil ceremony
Catholic ceremony
Other Christian ceremony
Other religious ceremony
If you were married in the Catholic Church and divorced, have you applied for or received an annulment?
Yes
No
If engaged, married, or in a domestic partnership, full name of fiancé(e), spouse, or domestic partner
Religion (if any) of fiancé(e), spouse, or domestic partner
Is this your first marriage?
Yes
No
Is this your fiancé(e) or spouse's first marriage?
Yes
No
Number of Children, if any
FAITH QUESTIONNAIRE
Describe any type of religious formation, formal or informal, you received as a child.
If you have participated in another church or religion as an adult, please provide the name of religion/church and a description of your previous religious involvement. At what age and for how long did you participate?
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.
Describe how your experience God in your life.
What do you presently value 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.
Describe your familiarity with the Bible or with other sacred texts. Do you or have you ever read the Bible? If you currently read the Bible, how often would you say you read it?
What is your understanding of Jesus Christ? Can you describe who Jesus is to you in your life right now?
Describe your familiarity, if any, with the Catholic Church, Catholic teachings, or Catholic traditions.
Who or what is prompting you to enter the RCIA process 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 RCIA process? (check all that apply)
*
At this time I am just looking. I want to know what Catholics believe and how they live.
I am attracted to Catholic Christianity. I am considering becoming Catholic.
I am almost certain I want to join the Catholic Church.
I am baptized in another Christian tradition and want to join the Catholic Church.
I am a baptized Catholic and want to complete my sacraments of initiation (Eucharist and Confirmation).
I am planning to marry a Catholic and want to become Catholic to join my fiancé(e).
I am a confirmed Catholic and want to refresh my knowledge/faith.
Other (explain below)
Please list the names of any St. Ignatius parishioners you may know and indicate how they may have helped you spiritually or otherwise on your journey.
Do you have someone to accompany you to Sunday Mass? If not, would you like someone to attend with you?
Those who participate in the RCIA process are accompanied by a sponsor who is already Catholic. If you have a possible sponsor in mind, please provide their name here. Please note a parent may not be a sponsor.
First Name
Last Name
In what other way might we be of help to you? What specific questions, special needs, or concerns might you have at this time? Please provide any additional information that would help our pastoral staff provide you with the support you need to continue your spiritual journey.
Thank you, and may God bless you!
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