Application for RCIA (2024-2025)
University Catholic Center at UCLA
Please fill out the application below and send it in by October 25. If you have any questions, contact Sr. Kathy at kschneider@uccla.org or call 310-208-5015 ext. 204
Name
*
Email
*
This address will receive a confirmation email
Cell Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of Birth
*
Father's name and religion
*
Mother's name and religion
*
Sacramental Status--check all that apply
*
Please select all that apply.
Baptized
First Communion
Confirmed
Single (never married)
Engaged
Married
Divorced
Widowed
Children
If you were baptized, when and where?
If you received your First Communion, when and where?
Please state your affiliation with UCLA. If you are a student, include your level and expected graduation.
*
If engaged or married, who is your fiancé(e) or spouse? What religion are they?
What has been your own religious education or church background? How would you describe your faith life?
*
Why are you interested in becoming Catholic? What drew you to the faith?
*
What are your expectations?
*
Do you have any other questions that you would like answered?
Submit
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University Catholic Center at UCLA
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