General Information

First Name:*

Middle Name:*

Last Name:*

Address:*

Address (Unit # or Floor):

City:*

County:*

State:*

Zip Code:*

Preferred Telephone Number:*

Preferred Telephone Number:*

Work Telephone Number:*

Email:

Gender:*

Date of Birth: (ex. 00/00/0000)*

Place of Birth:

Occupation:

Registered Parishioner at Holy Name Cathedral?*YesNo

Have you received the Sacrament of Baptism in the Catholic Church?* YesNo

Have you received the Sacrament of Confirmation in the Catholic Church?* YesNo

Have you received the Sacrament of the Holy Eucharist in the Catholic Church?* YesNo

Do you regularly participate in the practice of your faith?* YesNo

Are you willing to journey with an Inquirer who may have little or no knowledge of the Catholic Faith?* YesNo

Note: Sponsors are expected to participate in each RCIA session every Sunday with their Inquirer

Do you know an RCIA Inquirer you want to sponsor?* YesNo

If yes, please indicate his/her name and contact information:*

Please state your reason(s) for joining Volunteering as a sponsor:

*I attest to the truth of the information above. YesNo

Date: (ex. 00/00/0000)*