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Inquiry Form
(This is
not
an application)
General Information
Name and Age
First Name:
Last Name:
M.I.:
Age:
Contact
Info.
Email:
Phone (H):
Phone (W):
Current Address
Street:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Conneticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Permanent
Address
(If other than
current address)
Street:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Conneticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Religion
Are you a Roman Catholic?
Yes
No
Present Parish:
Present Pastor:
Parents
(Father)
Name:
Living?
Yes
No Year of Death:
Religion:
Parents
(Mother)
Name:
Living?
Yes
No Year of Death:
Religion:
Parents
Parent's Marital Status:
Family
Number of Sisters:
Number of Bothers:
Rank in Family:
Commitments
Have you ever been married?
Yes
No
Are you responsible for the financial support
of any other person?
Yes
No
Do you have any children?
Yes
No
Are you involved in any lawsuits
or other legal proceeding
Yes
No
Crime
Have you ever been arrested or charged with a crime?
Yes
No
If yes, please explain:
Health
General
Height:
Eyesight:
Good
Medium
Poor
Weight:
Hearing:
Good
Medium
Poor
Do you smoke?
Yes
No
Is your health as good as most people?
Yes
No
Infirmities
Specify any physical or psychological infirmities:
Addictions
Specify any past or present addictions:
Education
Name of School
Final
Level
Date of
Completion
Age at
Completion
Degree
Obtained
Elementary
Yes
No
High School
Yes
No
College
Grad. School
Other
Prior Religious
Affiliations
Have you ever studied for a diocese, or been a candidate for a religious community?
Yes
No
If yes, please specify where and when:
All information contained in this form is kept confidential.
5300 Pacific Avenue S.E.
Lacey, Washington 98503-7500
360.491.4700
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