St. Paul Adult Inquirer Information Form

Today's Date(required)

First Name(required)

Middle Name(required)

Maiden Name (if applicable)

Age(required)

Name of Father (First, Middle, Last)(required)

Full Mailing Address(required)

Cell Phone(required)

Email Address (Other)

Preferred Method of Communication(required)

Phone

Email

Preferred Name (required)

Last Name(required)

Date of Birth(required)

Place of Birth [Include locality (town, city, county, etc.), region (state, province, territory, etc.) & country](required)

Name of Mother [First, Middle, Last, Maiden (if applicable)](required)

Home Phone(required)

Email Address (Preferred)(required)

Occupation(required)

If phone is your preferred method of communication, then when is the best time to reach you?

Question 1

Have you ever been baptized?(required)

Yes

No

I am not sure

If you answered "Yes" to Question 1, please provide the following information:

In what denomination were you baptized?

Date or your approximate age when you were baptized:

Was water used?

Yes

No

I am not sure.

Were words of Father, Son and the Holy Spirit used?

Yes

No

I am not sure.

Name of the church, if known:

Address, if known [Include locality (town, city, county, etc.), region (state, province, territory, etc.) & county]:

What denomination have you most recently been attending?

Question 2

If you were baptized Catholic, check those sacraments you have already received.

Penance (Confession)

Eucharist (First Communion)

Confirmation

Question 4

At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church? (required)

I need much more information about the Catholic Church before I would consider joining.

I am considering joining, but I am still unsure about it.

I am fairly sure that I would like to join, but I still need some time to study and pray about it.

I am fairly sure that I want to join the Catholic Church.