RCIA: Becoming Catholic

If you are ready to sign up for the RCIA program at Sacred Heart Parish, please complete and submit the online form below. A printable copy is available if you prefer to use a paper form.

PRINTABLE RCIA INQUIRER FORM

If you have any questions, please contact Paul Gallagher at pgallagher@shgparish.org.

Information on this form is held in confidence and is not shared without your permission.

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Include locality (town, city, county, etc.), region (state, province, territory, etc.), and country.

Name of Father REQUIRED Please fill out this field. Please enter valid data.

Name of Mother REQUIRED Please fill out this field. Please enter valid data.

CONTACT INFORMATION

Full Mailing Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter valid data.

Email Address REQUIRED Please fill out this field. Please enter an email address.

Occupation REQUIRED Please fill out this field. Please enter valid data.

RELIGIOUS HISTORY

What, if any, is your present Religious Affiliation? REQUIRED Please fill out this field. Please enter valid data.

Have you ever been baptized? REQUIRED Yes No Not sure Please fill out this field.

If you answered "yes" above, please provide the following information:

In what denomination were you baptized? REQUIRED Please fill out this field. Please enter valid data.
Date or approximate age when baptized: REQUIRED Please fill out this field. Please enter valid data.
Baptismal name (if different from current name): REQUIRED Please fill out this field. Please enter valid data.
Place of Baptism (name of church/denomination): REQUIRED Please fill out this field. Please enter valid data.
Address, if known: REQUIRED Please fill out this field. Please enter valid data.
Location, if known: REQUIRED Please fill out this field. Please enter valid data.
Include locality (town, city, county, etc.), region (state, province, territory, etc.), and country. Please note: you are responsible for getting a copy of your baptismal certificate (unless you were baptized at Sacred Heart).

If you were baptized as a Catholic, check those sacraments already received: Penance (Confession) Eucharist (First Communion) Confirmation

CURRENT MARITAL STATUS

Check the appropriate statement(s) below and provide any information requested beneath each statement.

Marital Status REQUIRED I have never been 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. Please fill out this field.

I am married:

Your Spouse's Name: REQUIRED Please fill out this field. Please enter valid data.
Spouse's Current Religious Affiliation (if any): REQUIRED Please fill out this field. Please enter valid data.
For you: REQUIRED This is my first marriage. I have been married before. Please fill out this field.
For your spouse: REQUIRED First marriage Married before Please fill out this field.
Date of Marriage: REQUIRED Please fill out this field. Please enter a date.
Place of Marriage: REQUIRED Please fill out this field. Please enter valid data.
Include locality (town, city, county, etc.), region (state, province, territory, etc.), and country.
Officiating Authority of Marriage: REQUIRED Please fill out this field. Please enter valid data.
Civil government, non-Christian minister, Christian Minister, Catholic cleric

I am engaged to be married:

Fiance(e)'s Name: REQUIRED Please fill out this field. Please enter valid data.
Fiance(e)'s Current Religious Affiliation (if any): REQUIRED Please fill out this field. Please enter valid data.
For you: REQUIRED This is my first marriage. I have been married before. Please fill out this field.
For your fiance(e): REQUIRED First marriage Married before Please fill out this field.

FAMILY INFORMATION

List the names of any children or other dependents (e.g. Daughter — Jane; Stepson — John).

Children or other dependents REQUIRED Please fill out this field.
Child/dependent # 1
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 2
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 3
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 4
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 5
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 6
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 7
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 8
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 9
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
Child/dependent # 10
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.

CATHOLIC BACKGROUND AND QUESTIONS

What or who has led you to want to know more about the Catholic Faith? REQUIRED Please fill out this field.

Please describe the types of faith formation you have received, both as a child and as an adult. REQUIRED Please fill out this field.

What contact have you had with the Catholic Church to date? REQUIRED Please fill out this field.

What are some of the questions or concerns you have about the Catholic Church? REQUIRED Please fill out this field.

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. Please fill out this field.

Sacred Heart Parish

Catholic church - glyndon, md

ADULT INITIATION PROCESS

Contact Us

RCIA Adult InquiRER Form