RCIA CANDIDATE

Name

Title

First Name*

Middle Name

Last Name*

Date of Birth

Required* //

Address

Street 1*

Street 2

City*

State*

Zip*

Phone

What is the best number to contact you at?* --

E-mail

Required*

I am enrolling in RCIA because:
Required*

	I want to become Catholic
	I have never been baptized
	I need First Holy Communion

	I need to be Confirmed
	I want to be married in the Church
	I want to learn more about the Catholic Faith

Other

Are you a registered member of St. Philip the Apostle Catholic Church?
Required*

Yes

Have you been baptized?
Required*

Yes

If baptized was it in the Catholic Church?
Required*

Yes

If NO, in what faith?

If YES, list the Parish Name, City and State

Are you currently married?
Required*

Yes

If YES, was your current marriage preformed in the Catholic Church?
Required*

Yes

Have you had a previous marriage?
Required*

Yes

Was the previous marriage in the Catholic Church?
Required*

Yes

Spousal Information

Title

First Name

Middle Name

Last Name

Is he/she a baptized Catholic?

Yes

If no, has he/she been baptized in another faith?

Yes

What faith?

Has your spouse or fiancee/fiance been married before?

Yes

Do you know a registered member of St. Philip's parish who is a practicing Catholic in good standing with the Church who would be willing to sponsor you?
Required*

Yes

If yes, what is their name?

Title

First Name

Middle Name

Last Name

Phone

Best number to reach them? --

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