Please tell us about yourself.
* Denotes a required field
*
Your name:
* Email:
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Age
*
Occupation
*
No. of years
as a Catholic:
*
How often do you attend Mass?
*
Are you free of debt?
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Have you ever been married?
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Do you have any children? If so, list names and ages. Otherwise, enter "none."
What other devotions do you regularly practice?
*
Tell us about your education and experience.
Please list last year of schooling completed. If you completed college, list any degrees.
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What parish or diocesan activities do you participate in?
Please list both religious and social activities, if any. Otherwise, enter "none."
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Do you have any medical conditions, illnesses, or physical challenges?
If so, please list. Otherwise, enter "none."
Please tell us the name of your parish priest.
*
May we contact him? (Please provide e-mail address or phone number & best time to contact.)
Do you have any questions for us?
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