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  • About
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RCIC Inquirer Information Form

Child/Teen’s Name
MM slash DD slash YYYY
Place of birth

Family Profile

List below name(s) of parent(s)/guardians(s) and their present religious affiliation, if any

Name
Name
Full Mailing Address

List the names of any siblings of your child/teen

Child/Teen lives with
Name and Relationship

If there is a joint custody, arrangement please provide:

Alternate full address

Sacramental History

1) Has your child/teen been baptized?
Name of Church/Denomination
City/town /Region (State, Province, territory) Country

*If your child/teen is a baptized Christian, please provide a baptismal certificate or letter from the Church of Baptism documenting this fact. Files may be uploaded at the bottom of this form prior to submitting form.

2. If your child is a baptized Catholic, please list other sacraments he/she has received.

Learning Style

Not all people learn the same way. You can help your child/teen get as much out of this process as possible by sharing what you know about the learning preferences. Check all that apply. Feel free to comment.

Speaking/Listening (Lecture; storytelling; podcasts; discussion…)
Seeing (looking at pictures, identifying symbols, watching a video …)
Reading (at what grade level does your child/teen read/does your child/teen enjoy reading?)
Writing (how would you assess your child/teens writing skills, does your child enjoy writing?)
Hands on learning (does your child/teen like arts/crafts, doing projects?
Does your child/teen enjoy working (check all that apply)

Digital Learning

- learning facilitated by technology that gives learners some element of control over time, place, path and/or pace. It allows parents and catechists to customize learning tasks and presentation to individual needs or preferences.

My child/teen is familiar and comfortable with online learning
Our Family has internet access
My child/teen has access to his/her own device for online learning

Using this five point scale rank your child/teen’s comfort with the following digital learning tools

Reading online
Zoom meetings
Watching online videos
Using Flipgrid
Doing online quizzes & surveys
Playing Online games
Writing online
Using Google Classroom
Using Bitmoji Classrooms
Listening to Podcasts

It will help to know your child/teen’s strongest attributes and challenges. Please provide any information you think might be relevant. Example: Michael is very outgoing, loves to read and is a leader in his peer group. He is generally very optimistic and will try anything at least once. He becomes quiet if his feelings have been hurt. He has a number of different allegories.

General Questions

Drop files here or
Max. file size: 300 MB.
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