New York Catholic Bible School Preliminary Information Form Please complete the information requested and mail to: New York Catholic Bible School c/o Archdiocesan Catechetical Office 1011 First Avenue New York, NY 10022 Name: □ Mr. □ Mrs. □ (other) ______ _______________________ ______ __________________________ First Name MI Last Name Street Address _____ ______________________________________ (Apt)___________ City____________________________________ State _____ Zip Code ________________ E‐Mail ____________________________________________________ Phone Number _______________________ ______________________ (area code) Day (area code) Evening Complete whatever applies (if any) □ I am a catechist at __________________________ Parish in the Archdiocese of New York. □ I am a catechist in the religious education program □ I am a catechist in the parish RCIA □ I have completed Level One Catechist Certification □ I have completed Level Two Catechist Certification □ I am a director or coordinator at __________________ Parish in the Archdiocese of New York □ I am the □director or □coordinator of the religious education program □ I am the □director or □coordinator of the RCIA □ I have completed the Basic Leadership Training Course □ I am currently enrolled in the Basic Leadership Training Course □ I have completed Level One Catechist Certification □ I have completed Level Two Catechist Certification Select your preferred location(s) □Staten Island □Dutchess □Manhattan □Ulster □Bronx □Orange □Westchester □Sullivan □Putnam □Rockland Is there any evening you CANNOT attend? □Monday □Tuesday □Wednesday □Thursday