RCIA Online Enquiry &#8211; Our Lady of Mount Carmel Parish Varroville

St John the Evangelist Catholic Church

Thinking of Becoming Catholic Enquiry Form

Rite of Christian Initiation for Adults (RCIA)

The information contained in this form is confidential and is protected under Privacy Legislation and the Privacy Policy of the Parish.
Name*

First NameLast Name
Email*
example@example.com
Mobile*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Date of Birth*

DayMonthYear
Date
Place of Birth*
Town/Suburb, State, Country
Gender*

MaleFemaleOther
Occupation
Current Religion*
Are you baptised?*

NoYes
If yes, which Church ?
The denomination and suburb of the church where you were baptised. Please supply a copy of Baptism certificate
Mother's Name*

First NameLast Name
Mother's Birth Surname*
Mother's Religion*
Father's Name*

First NameLast Name
Father's Religion*
Have you attended Church services regularly?

Yes, I attend regularlyYes, I attend irregularly / when I can make itYes, I have been a few timesNo, not reallyPrefer not to answer
What church are you attending now?
Marital Status*

Married for first timeSingle (Never Validly Married)Divorced & RemarriedSingle after being married (divorced or separated)Widowed; now singleWidowed & remarriedNever Validly Married & living with partnerDivorced & living with partnerWidowed & living with partner
Marital Status of your partner

Married for first time to meDivorced & RemarriedWidowed & RemarriedLiving in partnership with meDivorced & now in partnership
Name of Partner

First NameLast Name
Gender of Partner

MaleFemaleOther
Type of Relationship

Church Marriage (Catholic Church)Church Marriage (other church)Civil MarriageOther kind of partnership
Place of First Marriage
Date of First Marriage

DayMonthYear
Date
Is your first Marriage Annulled?

YesNo
Please provide details of annulment.
Place of Second Marriage
Date of Second Marriage

DayMonthYear
Date
Have you attended Mass at St John's?

Yes, I attend each week (or more often)Yes, I attend monthly (or more often)Yes, I attend irregularly / when I can make itYes, I have been a few timesNo, not reallyPrefer not to answer
Connections & Next Steps

Would like to know more about the Catholic ChurchWould like to know more about AlphaWould like to speak with someoneNot really sure
Other Relevant Information
Should be Empty: