Order of Christian Initiation of Adults
Saint Joseph Parish
101 North Howes Street
Fort Collins, CO 80521
970-482-4148
Office Use Only
Office Use Only Status
Catechumen
Candidate
Confirmandi
Needs Sponsor :
Sponsor Name
First Name
Last Name
Confirmation Name
First Name
Last Name
Date of Confirmation or Entry into the Church
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
PERSONAL INFORMATION
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Middle Initial
Last Name
Maiden Name (if applicable)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
Place of Birth
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Father
First Name
Last Name
Name of Mother (include Maiden name)
First Name
Last Name
CONTACT INFORMATION
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Phone number to reach you
Format: (000) 000-0000.
Text?
Yes
No
FAMILY INFORMATION
Email
example@example.com
List the name(s) of any children or other dependents
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
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RELIGIOUS HISTORY
What 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 you were baptized
Baptismal name (if different from current name)
First Name
Last Name
Place of Baptism (name of church/denomination)
Address (if known)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you were baptized as a Catholic, check those sacraments you have already received:
Penance (Confession)
Eucharist (First Communion)
Confirmation
MARITAL STATUS
Please check the appropriate statement(s) below and provide any information requested beneath each statement.
I have never been married.
I am divorced and have not remarried.
I am engaged to be married.
Your Fiancé's Name
First Name
Last Name
Your Fiancé's Current Religious Affiliation
Fiancé Marriage History
this is my first marriage
this is my fiancé's first marriage
I have been married before
my fiancé has been married before
I have been married before: divorced
I have been married before: widow/widower
my fiancé has been married before: divorced
my fiancé has been married before: widow/widower
I am married
Your Spouse's Name
First Name
Last Name
Your Spouse's Current Religious Affiliation
Date of Marriage
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Marriage
Officiating Authority of Marriage (Civil government, non-Christian minister, Christian ministers, Catholic Cleric)
Spouse Marriage History
this is my first marriage
this is my spouse's first marriage
I have been married before
my spouse has been married before
I have been married before: divorced
I have been married before: widow/widower
my spouse has been married before: divorced
my spouse has been married before: widow/widower
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