Home St. Thomas Aquinas RCIA R.C.I.A. & Adult Inquirer Registration This form is only for those who are seeking to do one of the following: 1. Start the process of inquiry to become Roman Catholic 2. Receive the Sacrament of Confirmation (as an adult) Information on this form is held in confidence and is not shared without your permission. NOTE: If you are already Catholic (and have received all your Sacraments - see #2 above), and are interested in attending either to grow in your faith, or accompany a friend, relative, or loved one in their journey into full communion, you DO NOT need to fill out this form. NAME* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last PROFILE PICAccepted file types: jpg, jpeg, png, gif.Please provide a current passport style picture of yourself. This greatly helps our priests and the RCIA Team putting names to faces! Thanks! NOTE: If you cannot upload one now, please send one by email to Gretchen asap! firstname.lastname@example.orgSEX*MaleFemaleADDRESS* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PHONE*ALTERNATE PHONE*EMAIL ADDRESS* Enter Email Confirm Email BIRTH DATE* Date Format: MM slash DD slash YYYY BIRTHPLACE*Include Locality (town, city, county, etc), Region (state, province, territory, etc), and CountryOCCUPATION*FATHER'S NAME* First Last FATHER'S RELIGIONRoman CatholicEastern CatholicOrthodoxAnglicanBaptistEpiscopalianEvangelicalPresbyterianMethodistPentecostalJudaismIslamHinduismBuddhismSikhismSecular/Nonreligious/Agnostic/AtheistOtherFATHER'S RELIGION (If 'Other')MOTHER'S MAIDEN NAME* First Name Maiden Name (Required) *Maiden Name is required by the Diocese for the Sacramental Registry book that each parish maintains. Please write down mother's first name and maiden name.MOTHER'S RELIGIONRoman CatholicEastern CatholicOrthodoxAnglicanBaptistEpiscopalianEvangelicalPresbyterianMethodistPentecostalJudaismIslamHinduismBuddhismSikhismSecular/Nonreligious/Agnostic/AtheistOtherMOTHER'S RELIGION (If 'Other')RELIGIOUS HISTORYHAVE YOU BEEN BAPTIZED?*(If you say 'Yes,' please make sure to answer the next question about which Church you were baptized in)YesNoUnsureWHAT CHURCH?*Please let us know what Church you were baptized in (Roman Catholic, non-Catholic Christian, etc). BAPTISMAL CERTIFICATE UPLOADAccepted file types: jpg, jpeg, png, gif, pdf, doc.Please provide a copy of your baptismal certificate. Thanks! NOTE: If you cannot upload one now, please send one by email to Gretchen asap! email@example.comCURRENT RELIGIOUS AFFILIATION*Roman CatholicEastern CatholicOrthodoxAnglicanBaptistEpiscopalianEvangelicalPresbyterianMethodistPentecostalJudaismIslamHinduismBuddhismSikhismSecular/Nonreligious/Agnostic/AtheistOtherSACRAMENTS RECEIVED Penance (Confession) Eucharist (1st Communion) Confirmation If you were baptized Roman Catholic, please check off the Sacraments you have received. Be sure to upload your Baptismal certificate, and any pertinent information regarding which Sacraments you have received, and when and where you received them.RELIGION (If 'Other')MARITAL STATUSDIVORCE: Divorce requires some additional information and requirements in the RCIA process. If you, or your spouse, or fiancé(e) have been divorced, please make sure to include this information by answering the appropriate questions below, and uploading any documentation in a timely fashion. This is directly related to the process of becoming Catholic, or entering into full communion with the Catholic Church. If you have any questions in this regard, we are more than willing to answer them for you. CONVALIDATION: If you have married civilly, but have not been married in the Catholic Church, you will need to have your marriage convalidated. If you were originally married civilly, and later had your marriage convalidated, please provide documentation to this effect. You can give these to the RCIA Coordinator or drop them any documentation off at the Parish Office. With this in mind, please read through the following questions, and answer them as clearly as possible.HAVE YOU EVER BEEN MARRIED?*YesNoI am a widow/widowerMARRIAGE CERTIFICATE UPLOADAccepted file types: jpg, jpef, png, gif, pdf, doc.Please provide a copy of your marriage certificate. Thanks! NOTE: If you cannot upload one now, please send one by email to Gretchen asap! firstname.lastname@example.orgARE YOU ENGAGED TO BE MARRIED?*YesNoARE YOU CURRENTLY MARRIED?*YesNoIS THIS YOUR FIRST MARRIAGE?*If you were in a previous marriage that ended and you received an annulment from the Church, please choose 'No.'YesNoFOR THOSE MARRIED MORE THAN ONCEPlease list all previous marriages, providing us with the following information. 1. Dates and # of Years in marriage(s) 2. Ended by: Separation, Divorce, or Death 3. Please indicate if Church annulments were sought for cases of separation or divorce.FIANCE(E)'S NAME First Last FIANCE(E)'S RELIGIONRoman CatholicEastern CatholicOrthodoxAnglicanBaptistEpiscopalianEvangelicalPresbyterianMethodistPentecostalJudaismIslamHinduismBuddhismSikhismSecular/Nonreligious/Agnostic/AtheistOtherFIANCE(E)'S RELIGION (If 'Other')IS THIS YOUR FIANCE(E)'S FIRST MARRIAGE?YesNoWidow/WidowerFOR THOSE MARRIED MORE THAN ONCEPlease list all previous marriages, providing us with the following information. 1. Dates and # of Years in marriage(s) 2. Ended by: Separation, Divorce, or Death 3. Please indicate if Church annulments were sought for cases of separation or divorce.SPOUSE'S NAME First Name Maiden Name Last Name SPOUSE'S RELIGIONRoman CatholicEastern CatholicOrthodoxAnglicanBaptistEpiscopalianEvangelicalPresbyterianMethodistPentecostalJudaismIslamHinduismBuddhismSikhismSecular/Nonreligious/Agnostic/AtheistOtherSPOUSE'S RELIGION (If 'Other')IS THIS YOUR SPOUSE'S FIRST MARRIAGE?YesNoWidow/WidowerSPOUSE'S MARITAL STATUSPlease list all previous marriages, providing us with the following information. 1. Dates and # of Years in marriage 2. Ended by: Separation, Divorce, or Death 3. Please indicate if Church annulments were sought for cases of separation or divorce.PLACE OF MARRIAGE Church/Location Name Address City State / Province / Region ZIP / Postal Code CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country DATE OF MARRIAGE Date Format: MM slash DD slash YYYY If you were originally married in a Civil Ceremony and later had your marriage convalidated in the Catholic Church, please provide the convalidation date (e.g., MM/DD/YY)OFFICIATING AUTHORITYCivil Government, non-Christian minister, Christian minister, Catholic Priest/DeaconDID YOU RECEIVE A DISPENSATION IF EITHER YOU OR YOUR SPOUSE WERE CATHOLIC, AND YOU WERE MARRIED OUTSIDE THE CATHOLIC CHURCH?YesNoFAMILY INFORMATIONList name(s) of any children or other dependents (e.g., Daughter, Son, Stepdaughter, Stepson, etc)DO YOU HAVE CHILDREN/DEPENDENTS*YesNoCHILDREN/DEPENDENTSNameRelationshipAge Please list each child/dependents name, relationship to you, and age.GENERAL INFORMATIONINTEREST IN CATHOLICISM*What or Who has led you to want to know more about the Catholic Faith?RELIGIOUS EDUCATION*Describe religious education you have received as an adult, and as a child.CONTACT*What contact have you had with the Catholic Church to date?QUESTIONS/CONCERNS?*What are some of the questions or concerns you have about the Catholic Church?CURRENT THOUGHTS*I need much more information.I'm considering it, but am still unsure.I'm fairly sure, but still need time to study and pray about it.I'm sure I want to join.At this point in time, which of the following best describes your present feelings and thoughts about the possibility of joining the Catholic Church? (Please pick one)RCIA SPONSORWhat's a Sponsor? A sponsor is an active, practicing Catholic that is willing to be a companion to someone going through the R.C.I.A. process. As they get acquainted they listen, answer questions, pray together, and connect them with the parish. Sponsors find their role to be one that enriches and deepens their own faith as well. It is a very rewarding experience. If you do not have a sponsor, the parish can work with you to find one who is willing and able to help in this way. It is not recommended to have your fiance(e), fiance(e)'s parents, boyfriend/girlfriend, or boss be your sponsor. It is recommended to find someone that you know who is actively, and dynamically living their Catholic faith, and someone that can answer questions, pray for you, join you in the R.C.I.A. process, and walk with you along the way.DO YOU HAVE A SPONSOR?*YesNoSPONSOR NAME PrefixMr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Relationship to You WOULD YOU LIKE THE PARISH TO CHOOSE YOUR SPONSOR?*YesI'd like to choose my own sponsor.PhoneThis field is for validation purposes and should be left unchanged.