Becoming Catholic Inquiry
Please only fill this out if you wish to become Catholic or are Catholic but need to complete your Sacraments of Initiation.
Name
*
First Name
Last Name
Middle Name
*
Maiden Name (if applicable):
Date of Birth:
*
-
Month
-
Day
Year
Date
Age
*
Place of Birth:
*
(include locality (town, city, county, etc.), region (state, province, territory, etc.), and country)
Name of Father:
*
First Name
Last Name
Name of Mother:
*
First Name
Last Name
Contact Information
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation:
Religious History
What, if any, is your present religious affiliation?
*
Have you ever been baptized?
*
Yes
No
I am not sure
If you answered "Yes," please provide the following information:
In what denomination were you baptized?
Date or your approximate age when baptized:
Baptismal name (if different from current name):
Place of Baptism (name of church/denomination):
Address, if known:
Location, if known:
include locality (town, city, county, etc.), region (state, province, territory, etc.), and country
If you were baptized as Catholic, check the Sacraments you have already received:
Reconciliation/Confession
Eucharist
First Communion
Confirmation
Current Marital Status
Please choose one:
*
Please Select
I have never been married.
I am engaged to be married. (please complete fiance's information below)
I am married but separated from my spouse.
I am divorced, and I have not remarried.
I am divorced, and I have remarried.
I was a widow/widower prior to my remarriage.
I am married and this is my 1st marriage. (please complete spouse's information below)
If Engaged:
Your Fiancé's Name
First Name
Last Name
Your fiancé's current religious affiliation (if any):
For you:
This is my first marriage
I have been married before
If you have been previously married, this is your ___ marriage:
For your fiancé:
This is his/her first marriage
My fiancé has been married before.
If your fiancé has previously been married, this is his/her _____ marrige:
If married and this is your first marriage:
Your spouse's name:
First Name
Last Name
Your spouse's current religious affiliation (if any):
Date of Marriage:
-
Month
-
Day
Year
Date
Place of marriage/officiating authority of marriage:
For your spouse:
This is my spouse's 1st marriage
My spouse has been married before
If previously married, this is his/her _____ marriage:
Date of previous marriages:
Place of previous marriages:
include locality (town, city, county, etc.), region (state, province, territory, etc.), and country
Officiating authority of previous marriages:
Family Information
List the name(s) of any children or other dependents (e.g. Daughter - Jane; Stepson - John)
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
General Questions:
What or who has led you to want to know more about the Catholic Faith?
Please describe the types of religious education you have received, as a child and as an adult.
What contact have you had with the Catholic Church to date?
What are some questions or concerns you have about the Catholic Church?
At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church?
I need much more information about the Catholic Church before I would consider joining.
I am considering joining, but I am still unsure about it.
I am fairly sure that I would like to join, but I still need some time to study and pray about it.
I am fairly sure that I want to join the Catholic Church.
Submit
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