Becoming Catholic 2025-2026
For Validly Baptized Protestants and Unconfirmed Catholics Only
Name
*
First Name
Middle Name
Last Name
Maiden Name
Place of Birth
City, State
Date of Birth
/
Month
/
Day
Year
MM/DD/YYYY
Name of Father
First Name
Middle Name
Last Name
Name of Mother
First Name
Middle Name
Last Name
Maiden Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
Cell
Format: (000) 000-0000.
Home
Format: (000) 000-0000.
Email
example@example.com
What is your present religious affiliation, if any?
Have you been Baptized in the Name of the Father, and of the Son, and of the Holy Spirit?
YES
NO
UNSURE
If YES, please provide the following information:
In what denomination?
*
Date
*
/
Month
/
Day
Year
Date
Church of Baptism
*
Name of church
Your were Baptized by:
Immersion
Pouring over head
Sprinkling
Address of church
If you were Baptized in the Catholic Church, check those Sacraments you have already received
Confession
Holy Communion
Confirmation
Those baptized in a Protestant tradition and who wish to become Catholic should make every effort to provide proof of baptism. Are you able to obtain a copy of your baptism certificate?
Yes
No
Check all the appropriate boxes:
I have never been married.
I am engaged to be married.
I am in my first marriage.
I am divorced and remarried.
I am divorced and unmarried.
I am married but separated from my spouse.
I am a widow/widower and have not remarried.
I am a widow/widower and remarried after my first spouse's death.
I am in a civil union (eg. married in a courthouse, justice of the peace, etc...)
Other
If Engaged
For those engaged to be married
Your Intended's name
First Name
Middle Name
Last Name
Maiden Name
Your intended's current religious affiliation
For You
This will be my first marriage.
I have been married before.
For your intended
This will be his/her first marriage.
He/She has been married before.
If Married
For those currently Married.
Your Spouse's name
First Name
Middle Name
Last Name
Maiden Name
Your spouse's current religious affiliation
For You
This is my first marriage.
I have been married before.
For your spouse
This is his/her first marriage.
He/She has been married before.
Date of marriage
/
Month
/
Day
Year
Date
Officiating Authority of Marriage
Place of Marraige
Name of church
Church Address
Preview PDF
Submit
Should be Empty: