RCIA Interview Form

Complete the online version below or click here to fill out the PDF version of the form and print/scan/email it to gregmhenkel@gmail.com.

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General Information

To be completed by Inquirer

Name(Required)

First Middle Last Maiden (If Applicable)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email Address(Required)

Home Phone

Cell Phone(Required)

Occupation / Place of Employment(Required)

Date of Birth(Required)

Place of Birth(Required)

Faith History

Are you baptized?(Required)

Yes

Church Name & City/ST Where You Were Baptized(Required)

Date of Baptism(Required)

Parent's Faith Tradition / Church Affiliation(Required)

If Baptized as a Catholic, which Sacraments have you received?

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation or none if you haven't received any of these three)
Please click the plus button on the right to add more rows.

Sacraments Received

Church, City/ST

Date

Interest in the Catholic Church

How would you describe your interest in the Roman Catholic faith at this time?(Required)

I have a positive association with Jesus Christ, the Catholic Church, or a Christian believer

I desire to know more about Jesus, his life, and his teachings contained in the Catholic Church

I am open to joining the Catholic Church, but I still need some time to study and pray about it.

I am actively seeking to know if I can personally commit to Christ in His Church

I feel God is calling me to make a conscious decision to follow Jesus in the Roman Catholic Church as an active disciple, and I surrender my life to Christ to fulfill his personal mission given to me at my Baptism.

Do any other members of your household want to become Catholic?

Do you have someone in mind for a sponsor*?

Yes

*A sponsor is a Catholic who has received all of the Sacraments of Initiation and is currently practicing their faith. By this we mean this person attends Mass on all Sundays and Holy Days of Obligation, goes to Confession on a regular basis, and tries to lead a moral life. Your sponsor should be someone who can and will support you in this process and be able to accompany you to all sessions and ceremonies. Your sponsor should not be your boyfriend/girlfriend or parent in order to provide you with someone with whom you can objectively discuss things.

Sponsor Information

Sponsor's Name(Required)

First Last

Relationship to You(Required)

Sponsor's Address(Required)

Sponsor's Home Phone

Sponsor's Cell Phone(Required)

Marital Status

Current Marital Status(Required)

Single

Widow / Widower

Common-law Marriage

Divorced

Engaged

Married

Separated

Cohabitating, non-marriage

Received Annulment

Engagement Information

Fiancé(e)'s Name(Required)

First Last

Fiancé(e)'s Address(Required)

Fiancé(e)'s Religious Affiliation(Required)

Proposed Wedding Date

Name of Church for Future Marriage(Required)

Present Marriage Information

Name of Spouse(Required)

First Last (Maiden If Applicable)

Spouse's Religion(Required)

Name of Church/Place for Wedding(Required)

City/State of Church/Place of Wedding(Required)

Date of Marriage(Required)

Name of Officiant(Required)

Is your spouse baptized?(Required)

Yes

In what Church was your Spouse baptized?(Required)

Date of Spouse's Baptism(Required)

Children Information

Do you have children?(Required)

Yes

Child(ren) Information(Required)

Please click the plus button on the right to add more rows.

Name

Age

Baptized? (If so, where?)

Marital History

Have you been married prior to your current union/engagement?(Required)

Yes

Has your current spouse / fiancé(e) ever been married?(Required)

Yes

Your First Spouse Information

Dates of Marriage

Is previous spouse still living? If not, Date of death

Where were you married and by whom?

Was previous spouse previously married?

Had spouse been Baptized at time of wedding?

In what denomination had spouse been baptized?

Was spouse a Catholic at time of wedding?

Have you ever applied for an annulment?

Do you need to add information for another spouse?(Required)

Yes

Your Second Spouse Information

Dates of Marriage

Is previous spouse still living? If not, Date of death

Where were you married and by whom?

Was previous spouse previously married?

Had spouse been Baptized at time of wedding?

In what denomination had spouse been baptized?

Was spouse a Catholic at time of wedding?

Have you ever applied for an annulment?

Your Current Spouse's / Fiancé(e)'s First Spouse Information

Dates of Marriage

Is previous spouse still living? If not, Date of death

Where were you married and by whom?

Was previous spouse previously married?

Had spouse been Baptized at time of wedding?

In what denomination had spouse been baptized?

Was spouse a Catholic at time of wedding?

Have you ever applied for an annulment?

Do you need to add information for another previous spouse for current spouse/fiancé(e)?(Required)

Yes

Your Current Spouse's / Fiancé(e)'s Second Spouse Information

Dates of Marriage

Is previous spouse still living? If not, Date of death

Where were you married and by whom?

Was previous spouse previously married?

Had spouse been Baptized at time of wedding?

In what denomination had spouse been baptized?

Was spouse a Catholic at time of wedding?

Have you ever applied for an annulment?

Personal Affiliation

Do you have relatives / friends who are Catholic, what contact have you had with the Catholic Church to date, and what is your general impressions of the Catholic Church?

Are you currently affiliated with any church or congregation?(Required)

Yes

What Church or Congregation?

Have you participated in another Christian tradition at some time in the past?(Required)

Yes

Please describe

Reasons

What or Who has brought you here at this time and to this parish to want to know more about the Catholic Faith?(Required)

Questions

Are there any questions or concerns you have about God or the Catholic Church for us at this time?

Religious Studies & Background

Describe the amounts and types of religious studies you have taken part in either as an adult or as a child?

Upbringing

Describe your religious upbringing? Did you attend church as a family, and if so, how frequently? Did you pray in your home as a family, and if so, please describe.

Current Situation

Please describe your relationship with Jesus to this point in your life? How do you perceive / understand God? Do you know how to pray? If so, how do you pray and how often do you pray?

Expectations

What do you hope to gain from your experience in RCIA?

RCIA Interview Form

General Information

Faith History

Interest in the Catholic Church

Sponsor Information

Marital Status

Engagement Information

Present Marriage Information

Children Information

Marital History

Your First Spouse Information

Your Second Spouse Information

Your Current Spouse's / Fiancé(e)'s First Spouse Information

Your Current Spouse's / Fiancé(e)'s Second Spouse Information

Personal Affiliation

Reasons

Questions

Religious Studies & Background

Upbringing

Current Situation

Expectations

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