RCIA: New Candidate Information Learn More About RCIA RCIA: New Candidate Information Name(Required) First Last Contact InformationEmail PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth InformationDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Place of Birth (City/State) Father's Name First Last Father's Religion If you are baptized, his religion at the time of YOUR baptism.Mother's First and MAIDEN Name First Last Your mother's MAIDEN name is necessary for the formal baptismal registry, not her married name.Mother's Religion If you are baptized, her religion at the time of YOUR baptism.Faith RecordHave you been Baptized? Yes No Name of the Church Where You Were Baptized City/State of the Church Where You Were Baptized Date You Were Baptized (Year Only if Exact Date is Unknown) Denomination If you were Baptized Catholic, did you receive your First Holy Communion Yes No Personal InformationOccupation Are you a registered parishioner at St. James? Yes No Names and Ages of Children, If ApplicableI attend Sunday MassEvery SundayMonthlySeveral times a yearNever attendedWho or what prompted you to want to take this next step in your faith journey?What are some of your talents or gifts?What do you enjoy doing?Are you involved in any volunteer work either in or outside the Church?Sponsor InformationYou will be assigned a sponsor who will join you on this RCIA journey. As a Catholic who practices their faith and is faithful to the Church's teachings, your sponsor will serve as a Catholic "role model" for you. Do you have someone that you would like us to consider for your sponsor? Yes No Potential Sponsor NamePlease provide their contact information so that we can direct them to the sponsor application process. First Last PhoneEmail PhoneThis field is for validation purposes and should be left unchanged.