St. Paul Adult Inquirer Information Form Information on this form is held in confidence and is not shared without your permission. Today's Date(required) Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 First Name(required) Preferred Name (required) Middle Name(required) Last Name(required) Maiden Name (if applicable) Date of Birth(required) Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Age(required) Place of Birth [Include locality (town, city, county, etc.), region (state, province, territory, etc.) & country](required) Name of Father (First, Middle, Last)(required) Name of Mother [First, Middle, Last, Maiden (if applicable)](required) Full Mailing Address(required) Home Phone(required) Cell Phone(required) Email Address (Preferred)(required) Email Address (Other) Occupation(required) Preferred Method of Communication(required) Phone Email 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 3 Please check the appropriate statement(s) below and provide any information requested for each statement.(required) I have never been married. I am engaged to be married. I am married. I am married, but separated from my spouse. I am divorced and I have not remarried. I am a widow/widower and have not remarried since my spouse's death. I am presently in a relationship with someone. If you checked: "I am engaged to be married," please answer the following questions. Your Fiancé(e)'s Name: Your Fiancé(e)'s Current Religious Affiliation (if any): For You: This is my first marriage. I have been married before. For your Fiancé(e): This is his/her first marriage. My fiancé(e) has been married before. Are you currently living with this person? Yes No If you checked "I am married," please answer the following questions. Your Spouse's Name: Your Spouse's Current Religious Affiliation (if any): For you: This is my first marriage. I have been married before. For your Spouse: This is my spouse's first marriage. My spouse has been married before. Date of Marriage Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Month January February March April May June July August September October November December Year Year 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Place of Marriage [include locality (town, city, county, etc.), region (state, province, territory, etc.), & country]: Officiating Authority of Marriage (Civil government, non-Christian minister, Christian minister, Catholic cleric): If you checked "I am presently in a relationship with someone," please answer the following questions. Are you currently living with this person? Yes No Has he/she been previously married? Yes No List the name(s) of any children or other dependents (e.g., Daughter - Jane; Stepson - John). Relationship: Name: Age: Is this child baptized? Yes No If no, do you desire baptism for the child? Yes No Relationship: Name: Age: Is this child baptized? Yes No If no, do you desire baptism for the child? Yes No Relationship: Name: Age: Is this child baptized? Yes No If no, do you desire baptism for the child? Yes No Relationship: Name: Age: Is this child baptized? Yes No If no, do you desire baptism for the child? Yes No Relationship: Name: Age: Is this child baptized? Yes No If no, do you desire baptism for the child? Yes No 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. This field should be left blank Send Please wait...
