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Giving
First and Last Name
Address (Street, City, State, ZIP)
Phone #
E-mail
Age
Have you ever been married?
No
Yes
I am a cradle Catholic.
I am a convert.
If convert, year received into Catholic Church
Education / Occupation
I am in High School.
I finished High School and I am employed.
I am currently in college.
I am a college graduate.
I am employed.
If employed, occupation:
Discernment History - Check all that apply to you.
I am just beginning the process of discernment.
I have been discerning for some time but I am still uncertain.
I believe that God is calling me to religious life and I am seeking a religious community.
I would like more information about your community.
Have you ever entered another Religious Community? (If yes, please explain reason for leaving)
Please explain the condition of your overall health: physical, emotional, and psychological.
Do you have or will you have a debt? (please specify)
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