RCIA Inquirer/Candidate Form 2021-2022

- Please complete the following:
  
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  Candidate Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Contact Details
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Employment
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Employment REQUIRED Please fill out this field. Please enter valid data.
  
  Religious History
  
  Present Religious Affiliation, if any: REQUIRED
  N/A, if none.
  Please fill out this field. Please enter valid data.
  
  Baptism Information
  
  Are you Baptized? Yes No
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Denomination you were Baptized in? REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED
  Church, Congregation, etc.
  Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  If you were Baptized Roman Catholic, please complete the following:
  
  Baptism
  
  Name of Church REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Confirmation
  
  Name of Church REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Holy Eucharist
  
  Name of Church REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Holy Matrimony
  
  Name of Church REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status
  
  Please check those that apply REQUIRED I am not married I have never been married I am engaged to be married I am married I have been married only once I was married in the Catholic Church I have been married before My spouse was married before I am presently separated from my spouse I am divorced but have not remarried I am divorced and have remarried I wish to apply for an annulment My spouse needs to apply for an annulment I have applied for an annulment I have received an annulment I wish to speak with a priest or deacon Please fill out this field.
  
  Other information concerning my marital status
  
  Family Information
  
  Spouse/Fiance Details
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse/Fiance Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Does your spouse/fiance intend to sponsor you through the RCIA process? REQUIRED Yes No Please fill out this field.
  
  Children/Dependents REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Father
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion Please enter valid data.
  
  Mother
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Please enter valid data.
  
  General Information
  
  General Information
  
  What or who has brought you to know more about the Roman Catholic faith?
  
  Please describe the type of religious education you received as a child or as an adult:
  
  What contact have you had with the Roman Catholic Church to date?
  
  What are some of the questions or concerns you have about the Roman Catholic Church?
  
  Submit
  
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St. Margaret of Cortona

1600 North Hague Avenue. Columbus. OH 43204.

RCIA Inquirer/Candidate Form 2021-2022

Please complete the following:

Religious History

If you were Baptized Roman Catholic, please complete the following:

Marital Status

Family Information

General Information