APPLICATION FORM INQUIRING ABOUT COMPLETE INITIATION INTO CATHOLIC CHURCH

RITE OF CHRISTIAN INITIATION OF ADULTS (RCIA)

Filling out this form indicates that you are interested in inquiring into the process for being fully received into the Catholic Church as a full member.

SURNAME (FAMILY NAME) OF APPLICANT: *

GIVEN NAME OF APPLICANT: *

ANY (AND ALL) MIDDLE NAMES OF APPLICANT: (PLEASE LEAVE BLANK IF NO MIDDLE NAMES):

NAME THAT THE APPLICANT IS USUALLY KNOWN BY: (EG: WILLIAM=BILL):

Email Address:

RESIDENTIAL ADDRESS: *

POSTAL ADDRESS (IF DIFFERENT FROM RESIDENTIAL) *

my postal address is the same as above

I have a postal address: I have a postal address:

Date of Birth: *

Best contact Phone Number: *

Home phone number if different from above:

Please choose one of the options below: *

I have never been Baptised or Christened in any Catholic CHurch or any other Religous Denomination:

I have already been baptised as a Catholic

I have been baptised or Christened into a non-catholic Christian Church

If you have been Baptised or Christened, please write the name of the church, the religious denomination of the church (eg Catholic, Anglican, Lutheran etc), and also the date and location of the church:

Please tick if you have ALREADY received any of these church sacraments: (Please select all that apply to you)

Baptism/ Christening

The Sacrament of Confirmation

The Sacrament of Penance (Reconciliation)

The Sacrament of Eucharist (First Holy communion)

ticked any or all of the above sacrments that you have already received, please write here, the church and location of those sacraments and the date/year as far as you know:

Please write the name of the person filling out this form *