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Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How did you learn about our community?*What attracts you to our Eucharistic-Mercedarian charism?*Have you always been a practicing Roman Catholic?* Yes No If not, when was your conversion?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Have you experienced a return to the Sacraments?* Yes No If yes, when was your return?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How often are you able to get to Mass and Confession?* Less than Once A Month Weekly Multiple Times Per Week Do you have a Spiritual Director assisting you?* Yes No Where are you in the discernment process?*Were you ever in religious life?* Yes No Have you ever been married?* Yes No Do you have living children of any age?* Yes No Highest level of education completed?*High SchoolSome CollegeAssociate DegreeBachelor's DegreeGraduate or Professional DegreeCollege/University attended (a college degree is not a requirement for entrance)* Major:* Year of Graduation:*Current Occupation:* Do you have any financial debt? 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