Today's Date / Event

Check one Male Female

Last Name: First Name:

Address:

City / State / Zip

PhoneGradeBirth Date

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School

Parish

Name of Parent(s)

I found what you've said about the Priesthood and Religious Life:

Very Interesting Somewhat Interesting Not Very Interesting

Please circle the appropriate answer:

1. I am a Catholic Yes No

2. My Catholic faith is (not very 1 2 3 4 5 very) important to me.

3. I take time to pray 1 2 3 4 5 6 7 days a week.

4. I am involved in no one some many service projects/volunteer activities

5. My grade average is probably A B C D

6. I tend to be ( quiet 1 2 3 4 5 outgoing ).

7. My plan in life is ( not likely likely very likely) to include God.

8. The idea of priesthood or religious life comes back Never Sometimes Often

9. I rank my interest in priesthood and religious life as ( little 1 2 3 4 5 great ).

Thank you! We'd like to keep in touch with you, may we contact you? Okay Perhaps later No