RCIA Application
Your Name
First *
Your answer
Last *
Your answer
Address
Street *
Your answer
City/State *
Your answer
Zip Code *
Your answer
Date of Birth
Month, day, year *
MM
/
DD
/
YYYY
Baptism
If not baptized, please leave blank
Location of Baptism
Your answer
Address of Baptism
Your answer
Date of Baptism
MM
/
DD
/
YYYY
Faith Tradition
Your answer
Have you received any sacraments in the Catholic Church?
If yes, which Sacraments have you received? (Check all that apply)
What brought you to inquire about the Catholic Faith?
Your answer
Can you describe your prayer life and relationship with God?
Your answer
What questions do you have about the Catholic Faith Tradition?
Your answer
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