CHRIST THE KING
CATHOLIC CHURCH
ADULT INQUIRY
INFORMATION
For adults interested in receiving Sacraments of Initiation.
PLEASE PRINT
Today’s date: ______________________________________
CANDIDATE INFORMATION:
Name: ________________________________________________________________________________________
First
Middle
Maiden if female
Last
Date of Birth:_________________ Place of Birth (City, State):___________________________________Age:_____
Father’s Name: _________________________________________________________________________________
First
Middle
Last
Mother’s Name: ________________________________________________________________________________
First
Middle
Maiden Last Name
Religious Affiliations: ____________________________________________________________________________
Of Father
Of Mother
CANDIDATE INFORMATION:
CONTACT INFORMATION:
Mailing Address: _______________________________________________________________________________
City:______________________________________________ State:______________
Zip:__________________
Cell phone: ____________________________________
Home phone: _______________________________
Work phone: ____________________________________
Occupation: _________________________________
Email Address:
_______________________________________________________________________________
RELIGIOUS HISTORY:
What, if any, is your current religious affiliation? ______________________________________________________
Have you ever been Baptized?
_____ Yes
_____ No
_____ Unsure
If you have been Baptized, please answer the following:
Into what faith/denomination were you Baptized?
What was your date of Baptism?
_______________________________________________
___________________________ How old were you? ____________
Name of Church where you were Baptized: ___________________________________________________
Address (city and state) of church where you were Baptized:_______ _____________________________________
Godfather’s name:___________________________________ His religion:_________________________________
Godmother’s name:____________________________________ Her religion:_______________________________
If you were Baptized Catholic, please check the sacraments you have received:
____ First Penance (Confession)
____ First Communion
____ Confirmation
FAMILY INFORMATION:
List the names of your children or other dependents.
Relationship: ___________________Name: ____________________________________________Age: _________
If he or she was Baptized Catholic, please check the Sacraments that he or she has received.
___ First Penance (Confession)
___ First Eucharist (Communion)
___ Confirmation
Relationship: ___________________Name: ____________________________________________Age: _________
If he or she was Baptized Catholic, please check the Sacraments that he or she has received.
___ First Penance (Confession)
___ First Eucharist (Communion)
___ Confirmation
Relationship: ___________________Name: ____________________________________________Age: _________
If he or she was Baptized Catholic, please check the Sacraments that he or she has received.
___ First Penance (Confession)
___ First Eucharist (Communion)
___ Confirmation
Relationship: ___________________Name: ____________________________________________Age: _________
If he or she was Baptized Catholic, please check the Sacraments that he or she has received.
___ First Penance (Confession)
___ First Eucharist (Communion)
___ Confirmation
CURRENT MARITAL STATUS:
_____
I have never been married.
_____
I am engaged to be married.
Your fiancés name is:____________________________ Religious affiliation of your fiancé:____________________
For you: _____ This will be my first marriage.
For your fiancé: _____This will be his/her first marriage.
_____I’m currently married. My spouse’s name is: _____________________. Rel. affiliation:__________________
Date/Place of marriage: ________________________________ Before whom?_____________________________
For you: _____ This is my first marriage.
_____ I am married but am currently separated.
_____ I am a widow/widower and have not remarried.
_____ I am divorced and I have not remarried.
_____ I’ve been married before. With whom?__________________________. Rel. affiliation:_________________
Date/Place of marriage: ________________________________ Before whom?_____________________________
Has this marriage been declared null by the Church? ____No. _____Yes. If so, when?_______________________
For your spouse: _____This is his/her first marriage.
_____ He/she has been married before.
If so, with whom?_____________________________. Religious affiliation:____________________
Date/Place of marriage: ________________________________ Before whom?_____________________________
Has this marriage been declared null by the Church? ____No. _____Yes. If so, when?_______________________
GENERAL QUESTIONS:
What or who has led you to want to know more about the Catholic faith?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Please describe the religious education you have received both as a child and as an adult.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
To date, what contact have you had with the Catholic Church?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
What are some of the questions or concerns you have about the Catholic faith?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Which of the following statements best describes your present feelings and thoughts about the possibility of
joining the Catholic Church?
A. I need more information about the Catholic Church before I would consider joining.
B. I am considering joining the Catholic Church, but I’m still unsure about it.
C. I’m fairly sure that I want to join the Catholic Church, but I still need some time to study and pray about it.
D. I am certain that I want to join the Catholic Church.
E. I’m Baptized Catholic. I want to receive: ___First Reconciliation
___First Communion
___Confirmation
Return completed form and set an appointment to discuss placement into a class.
Christ the King Catholic Church: Office of Religious Education
Bill Woodard, Religious Education and RCIA Coordinator (for those wishing to become Catholic)
876-5841 ext 2245 BWoodard@CTK-Tampa.org
Casey Kiser, Sacrament Coordinator (for those Catholics who wish to receive sacraments)
876-5841 ext 2248 CKiser@CTK-Tampa.org
Revised 5/27/2015