RCIA Inquirer Information Form

Date*
Date Format: MM slash DD slash YYYY
Name*
First Middle Last
Maiden Name (if applicable)
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Place of Birth*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What, if any, is your present religious affiliation?*
Have you ever been baptized?*
In what denomination were you baptized?*
When were you baptized? (Approximate date or age)*
Where were you baptized? (Church/denomination)*
Address of church (if known)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If you were baptized as a Catholic, please check the sacraments that you have received.
- Penance (Confession)
- Eucharist (First Communion)
- Confirmation

What is your current marital status?*
Please check the one statement that best describes your current status.
Your Fiance(e)'s name*
First Last
Your Fiance(e)'s current religious affiliation (if any)
Please select the option that describes your current status
Date of your prior marriage
Date Format: MM slash DD slash YYYY
Place of your prior marriage
Please select the option that describes your fiance(e)'s status
Date of your fiance(e)'s prior marriage
Date Format: MM slash DD slash YYYY
Place of your fiance(e)'s marriage
Your Spouse's name*
First Last
Your spouse's current religious affiliation (if any)
Please select the option that describes your status
Date of your prior marriage*
Date Format: MM slash DD slash YYYY
Place of your prior marriage
Please select the option that describes your spouse's status
Date of your spouse's prior marriage*
Date Format: MM slash DD slash YYYY
Place of your spouse's prior marriage