RCIA Sponsor Registration Form

Confidential Information

Today's Date Today's Date / MM / DD YYYY
Sponsor Name Sponsor Name First Last
Sponsor Phone Number Sponsor Phone Number - ### - ### ####
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Place of Work
Job Title
Are you fully initiated in the Catholic Church (received Baptism, Eucharist and Confirmation)?

Are you fully initiated in the Catholic Church (received Baptism, Eucharist and Confirmation)? Yes No
Are you living a sacramental life (attending Mass regularly, making use of the Sacrament of Reconciliation)?

Are you living a sacramental life (attending Mass regularly, making use of the Sacrament of Reconciliation)? Yes No
Can you commit to weekly Tuesday evening RCIA sessions (September-May)?

Can you commit to weekly Tuesday evening RCIA sessions (September-May)? Yes No
If currently married, was your marriage celebrated within the Catholic Church

If currently married, was your marriage celebrated within the Catholic Church Yes No
Describe any pertinent personal information that might help in the discernment process for matching you with a potential candidate including any past involvement with RCIA (if applicable):