St. Elias Catechumen Information
Information shared here will be kept confidential.
Name
First Name
Last Name
Date of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Marital Status
Single
Engaged
Married
Divorced
Widowed
Domestic Partnership
Occupation / Line-of-work / Educational Background
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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Background Information
Have you been baptized? If Yes, please provide details (date, location, denomination)
Are you currently a member of another Christian denomination or group? If Yes, please specify which and for how long. Were you affiliated with other churches before?
Have you previously attended any Orthodox Christian services? If Yes, please describe your experience.
Briefly describe your spiritual journey and what led you to seek membership in the Orthodox Christian Church.
Do you have a criminal background? (If Yes, please explain briefly)
Do you have any specific questions or concerns about the Orthodox faith that you hope to address during your catechesis?
How did you find St. Elias?
When did you first visit St. Elias?
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Family Information
Spouse's Name, if applicable. If your spouse if also enrolling in the catechumanate, he/she should fill out a separate form.
Children's Names, Ages, birthdays, & baptismal information (if applicable)
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Commitment & Expectations
What are your goals and expectations from the catechumen period?
Are you able to commit to regular attendance at Divine services? If no, please explain.
Are you able to commit to regular attendance at catechumenate classes? If no, please explain.
How do you see yourself serving the Church? What are your talents & gifts that can be shared? (ex. gardening, singing, maintenance, etc.)
Is there any other information or special circumstances that the Church or Fr. Ephraim should be made aware of?
Completed & Submitted to Fr. Ephraim on
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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