RCIA Final Assessment

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Date of Birth: REQUIRED Please fill out this field. Please enter valid data.

Where were you born? (e.g. City & State) REQUIRED Please fill out this field. Please enter valid data.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's First Name and Maiden Name: REQUIRED Please fill out this field. Please enter valid data.

At which church do you regularly attend Mass? REQUIRED Holy Name, Machias St. Michael, Cherryfield Sacred Heart, Lubec St. Timothy, Campobello Island Please fill out this field.

What Sacraments are you receiving? (Check all that apply) REQUIRED Baptism Confirmation Eucharist (First Communion) Matrimony (Getting married in the Church) Please fill out this field.

If Baptism, what is your sponsor's name? Please enter valid data.

If Confirmation, what is your Confirmation sponsor's name? Please enter valid data.

If you are baptized, do you have a copy of your baptismal certificate? (You will have to show proof that you are validly baptized) REQUIRED Yes No Not Applicable (N/A) Please fill out this field.

If Matrimony, have you begun the paperwork? Yes No

If Matrimony, is an annulment necessary? Yes No

If an annulment is necessary, have you begun the paperwork? Yes No

Has the Declaration of Nullity been granted? Yes No

If the Declaration of Nullity has been granted, what is the Protocol Number from the letter? Please enter valid data.

Did you find the RCIA Preparation Classes helpful? REQUIRED Yes No Please fill out this field.

Was there something you wish you would have learned more about? Were there any noticeable strengths or weaknesses of the preparation classes?

Would you care to offer any suggestions for improvement?

Would you be interested in being a sponsor for someone in next year's class? REQUIRED Yes No Please fill out this field.

Congratulations on completing the RCIA class. It has been a pleasure having you be part of this year's preparation for receiving your sacraments of initiation. Always remember that the jourey with Jesus has only just begun. We look forward to having you as part of our family of faith. May God bless you always.