St. Monica Catholic Church

First Name: *

Last Name: *

Maiden Name:

Mailing Address: *

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A confirmation will be e-mailed to this address.

Age:

Date of Birth: *

City of Birth: *

State of Birth: *

Mother's Full Name: *

(First & Maiden)

Father's Full Name: *

(First & Last)

Occupation: *

Primary Language: *

Secondary Language:

Have you been baptized in a Christian church? *

If yes, please answer the following questions:

Denomination you were baptized in?

(example: Methodist, Baptist, etc)

Name of the Church where you were baptized?

(example: Northway Baptist Church)

Church City and State:

Date of Baptism:

***If Baptized Catholic, please scan us a copy of your Baptism Certificate or submit a copy to the Church office.

Other supplemental forms that we need:
All Candidates must scan a copy of their birth certificate or submit one to the Church office. This information is for the sacramental registry and sacramental certificate.

Present Religious Affiliation: *

(if any)

List all sacraments you
have received:

(If Catholic)

Why do you want to become
Catholic?

What has led you to want to learn more about the Catholic faith?

Contact with Catholic
Church thus far:

What contact have you had with the Catholic Church thus far?

Questions about the
Catholic Church:

What questions do you have about the Catholic Church?

Names of your children, ages baptized & where:

Are you currently married? *

Have you ever been divorced? *

If married, has your spouse been divorced? *

Are you single or engaged? *

If engaged, has your fiancée or fiancé ever been divorced? *