RCIA registration RCIA Catechumen Candidate Marriage Case Date of registration MM slash DD slash YYYY About youName(Required) First Middle Last Maiden Nickname (if applicable) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email(Required) Home or Cell Phone(Required)Date of Birth(Required) MM slash DD slash YYYY Place of Birth (city, state)(Required) Educational background Place of employment Work schedule Work PhoneBest time to receive calls at work (if applicable) Family HistoryFather's name Father's religious background Mother's name Mother's religious background Are your parents living? Yes No Where do parent(s) live? Parents' marital status Married Divorced Widowed Please list any sibling(s), their age(s), and where they live Your family lifeMarital status (current)(Required) Single Married Have you been married before? No Yes, divorced Yes, widowed Spouse/Fiance Name Spouse/Fiance's Religion Any children?(Required) Yes No Names and ages of children Do your children need catechesis or initiation? Yes No Other Your faith historyHave you been baptized?(Required) Yes No Other If yes, what denomination? Church and location of baptism Date of baptism MM slash DD slash YYYY Your age when baptized Do you have a record of your baptism? (Please note if you have it or if you need to make a request to obtain it.) What (if any) is your subsequent involvement in that church? What is your most recent church affiliation?(Required) If you were baptized Catholic, what other Sacraments have you received? Eucharist Confirmation What friends do you have of this parish or of the Catholic faith? Name and phone number of possible sponsor Who and what brought you to the RCIA program?(Required)Please talk about your experience/relationship with God or religion up to this point.(Required)What do you want your relationship with God to be?(Required)What are your general impressions of the Catholic Church?(Required)Do you have any questions, issues or concerns at this time?Any other notes or comments?Thank you for taking the time to complete this form and tell us more about yourself. We look forward to exploring the faith with you through RCIA!
