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Individual Information Form
Important
:
PLEASE COMPLETE A SEPARATE FORM FOR YOURSELF AND EACH MEMBER IN THE HOUSEHOLD EVEN IF NOT CATHOLIC!
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* Indicates required question
HOUSEHOLD NAME:
(Please be sure to complete a Parish Registration form before completing this form)
*
Your answer
Title
*
Mr
Mrs
Miss
Ms
Dr
Other:
First Name (please use full name)
*
Your answer
Middle name
*
Your answer
Last name
*
Your answer
Preferred Name:
*
Your answer
Maiden Name:
Your answer
Cell Phone Number
*
Your answer
Email address
Your answer
Relationship
*
head of household
spouse
son
daughter
grandchild
Other:
Gender
*
Male
Female
Denomination (Ex: Catholic, Lutheran, Methodist etc...)
*
Your answer
Do you consider yourself a practicing Catholic?
*
Yes
No
Status
*
Single
Married - by a Priest
Married - by a Deacon
Widowed
Remarried
Divorced and rec'd an annulment
Divorced; would like to receive an annulment
Other:
Special Needs:
Your answer
SPECIAL EVENTS:
Dates can be approximate if unsure
Birthdate (Month/Day/
Year
)
*
Your answer
Birth Location (City & State)
*
Your answer
Baptism (Month/Day/
Year
)
Your answer
Church where baptized
Your answer
City and state of the church where baptized
Your answer
First Communion (Month/Day/
Year
)
Your answer
Church where First Communion received
Your answer
City and state of where First Communion received
Your answer
Confirmation (Month/Day/
Year
)
Your answer
Church where confirmed
Your answer
City and state of confirmation church
Your answer
Convert (Month/Day/
Year
)
Your answer
Church where received into the faith
Your answer
City and state of church where received into the faith
Your answer
Marriage (Month/Day/
Year
)
Your answer
Were you married in the Catholic Church?
*
Yes
No
n/a
Church where married
Your answer
City and state of church where married
Your answer
EDUCATION:
Current Grade:
Your answer
High School graduation (year)
Your answer
High School graduation (school)
Your answer
Bachelor Degree (Year)
Your answer
Bachelor Degree (degree/field of study)
Your answer
Bachelor Degree (school)
Your answer
Master Degree (Year)
Your answer
Master Degree (degree/field of study)
Your answer
Master Degree (school)
Your answer
Doctorate Degree (Year)
Your answer
Doctorate Degree (degree/field of study)
Your answer
Doctorate Degree (school)
Your answer
Specialized Training:
Your answer
Area of study
Your answer
School
Your answer
Military Service (branch and years of service)
Your answer
EMPLOYMENT
Job Title
Your answer
Work Location
Your answer
Retired
*
Yes
No
GIFTS OF TIME AND TALENT
Please list any talents that you are able to share for the betterment of the parish
Examples
: ministries (altar server, reader, etc...), musician, Faith Formation education, willing to help prepare food when in need (funeral, illness etc..), physical strengths or abilities (gardening, painting, etc...) and special skill set
*
Your answer
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