St. Margaret Adult Inquirer Information Form

Adult Inquirer Information Form

St. Margaret Church (Rumford, RI)
Information on this form is held in confidence and is not shared without your permission.

St. Margaret Church
1098 Pawtucket Ave.
Rumford RI 02916
Contact: Barbara DiLibero
Phone: 401-438-3230
Email: parish-office@stmargaretchurch.org
Today's Date

MonthDayYear
Date
Full Name

First NameMiddle NameLast Name
Maiden Name, if applicable
Date of Birth

MonthDayYear
Date
Place of Birth
include locality (town, city, county, etc.), region (state, province, territory, etc.), and country
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Contact Information
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone (Daytime)
Please enter a valid phone number.Format: (000) 000-0000.
Phone (Evening/Weekend)
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Email (alternative)
example@example.com
Religious History
What is your present religious affiliation, if any?
Have you ever been baptized?
If you answered “Yes” to Question 2, please provide the following information; otherwise, proceed to next section.
In what denomination were you baptized?
Date or approximate age when you were baptized
Baptismal name (if different from current name)
Place of Baptism
Name of Church/Denomination
Address (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you were baptized as a Catholic, check those sacraments you have already received:
Marital Status
Check the appropriate statement(s) below and provide any information accordingly.
For those who are engaged:
Fiancé(e)’s Name

First NameMiddle NameLast Name
Fiancé(e)’s Religious Affiliation (if applicable)
For you:
For your fiance:
For those who are married:
Your spouse's name

First NameLast Name
Your spouse's current religious affiliation (if applicable)
For you
For your spouse
Date of marriage

MonthDayYear
Date
Place of marriage
Officiating Authority of Marriage
(civil government, non-Christian minister, Christian minister, Catholic cleric)
Family Information

List the name(s) of any children or other dependents (e.g., Daughter — Jane; Stepson — John).
Name

First NameLast Name
Age
Relationship
Name

First NameLast Name
Age
Relationship
Name

First NameLast Name
Age
Relationship
Name

First NameLast Name
Age
Relationship
Name

First NameLast Name
Age
Relationship
General Questions
1. What or who has led you to want to know more about the Catholic Faith?
2. Please describe the types of religious education you have received, as a child and as an adult.
3. What contact have you had with the Catholic Church to date?
4. What are some of the questions or concerns you have about the Catholic Church?
5. At this point in time, which of the following statements best describes your present feelingsand thoughts about the possibility of joining the Catholic Church?
Should be Empty:

Adult Inquirer Information Form

Contact Information

Religious History

Marital Status

For those who are engaged:

For those who are married:

Family Information

General Questions