RCIA – Mother Seton Catholic Church

Date*

Name

First Middle Last

Maiden Name (if applicable)

Last

Date of Birth

Place of Birth

City, State, and Country (if not USA)

I. Contact Information

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Occupation

Email

Parish you are participating in the RCIA Program*

Include Parish and City

II. Religious History

What, if any, is your present religious affiliation?

Have you ever been baptized?*

Yes
No
Not Sure

If you answered yes above please fill out the following 5 questions

A.) In what denomination were you baptized?

B.) The date or your approximate age you were baptized:

C.) Place of Baptism (name of church/denomination)

D.) Address if known

E.) City and State if known or Country (if not in USA)

Father's Name

First Last

Mother's Name

First Maiden Last

If Baptized Catholic, did you receive any of the following sacraments?

Penance (Confession)
Eucharist (First Communion)
Confirmation

III. Current Marital Status

Check the appropriate statement below:

I am single and I have never been married
I am engaged to be married
I am married
I am married but separated from my spouse
I am divorced and have not remarried
I am a widow/widower

If engaged, please answer the following questions

A.) Your fiancé(e)'s name

B.) Your fiancé(e)'s current religious affiliation

C.) For you:

This is my first marriage
I have been married before

D.)Your fiancé(e):

This is his/her first marriage
He/She has been married before

If married please answer the following questions

A.) Your spouse's name

B.) Your spouse's current religious affiliation

C.) For you:

This is my first marriage
I have been married before

D.)Your spouse:

This is his/her first marriage
He/She has been married before

E.) Date of marriage

F.) Place of marriage

IV. Family Information

List the names of any children or descendants

List name, their relationship to you and age

RCIA Inquiry Form

I. Contact Information

II. Religious History

If you answered yes above please fill out the following 5 questions

III. Current Marital Status

If engaged, please answer the following questions

If married please answer the following questions

IV. Family Information

1. Introduction to Kerygma

2. Overview of The Mass

3. Kerygma Part Two

4. Kerygma Part Three