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ID/Env:
Head of Household 1
Title
None
Mr.
Ms.
Mrs.
Dr.
M/M
D/M
M/D
* First Name
* Last Name
Middle Name
Nickname
Relationship
1-Head
3-Adult
4-Child
Spouse
Maiden Name
Nationality
*Other
African
African American
American
Arabic
Argentinan
Asian
Asian/Indian
Brazilian
British
Canadian
Chilean
Chinese
Colombian
Costa Rica
Cuban
Czech Republic
Dominican
Ecuador
English
Filipino
German
Haitian
Hispanic
Irish
Italian
Italian/American
Japanese
Latina
Latina/o
Latino
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* Gender
Male
Female
Language Spoken
1-English
1-English/Spanish
2-English/Spanish
2-Spanish
3-Spanish
4-English/Portuguese
5-English/Tagalog
English
English/French
English/Italian
English/Portuguese
English/Spanish
English/Tagalog
Other
Portuguese/English
* Life Status
1-Single
2-Engaged
3-Married
4-Separated
5-Divorced
6-Widowed
Annulled
Engaged
Partnered
Religious
Separated
Religion
Assembly of God
Baptist
Buddhist
Catholic
Christian
Church of God
Congregational
Eastern Rite Orthodox
Episcopalian
Evangelical
Greek Orthodox
Hindu
Jewish
Latter Day Saints
Lutheran
Methodist
Muslim
Nazarene
Non-Denominational
None
Other
Pentecostal
Presbyterian
Protestant
Unbaptized
* Occupation
*Other
A/C Technician
Academic/Education
Access Center Specialist
Account Executive
Accountant
Accounting/Bookkeeping
Administrator
Advancement/Fundraising
Advertising/Marketing
Aerospace Engineer
Air Conditioning
Airplane Mechanic
Analyst
Apartment Manager
APRN
Architecture/Construction
Army Officer
Army Reserve
Athletic Trainer
Attorney
Auditor
Auto Mechanic
Auto/Body Painting
Aviation
Avionics Technicial
Baker
Banking
Barber
Bartender
Beautician
Biostatistician
Bricklayer
Bus Driver
Business Analyst
Business Executive
Business Manager
Business Owner
Business Specialist
Butcher
Buyer
Cardiac Perfusionist
Caregiver
Carpenter
Case Manager
Caterer
Chemical Engineer
Child Care
Chiropractor
Civil Service
Claims Adjuster
Clerical/Secretary
Client Relations
Clinical Nurse Educator
Clinical Social Worker
Coaching/Advertising
College Professor
Communications/Marketing
Computers & IT
Construction
Consultant
Consumer Lender
Contractor
Correctional Officer
CPA
Custom Manufacturing
Cyber
Data Governances
Datatech
Dental Assistant
Dental Hygienist
Dentist
Deputy Sheriff
Development
Dir of Marketing/Commun
Director
Director Data Mgmt.
Director of Maintenance
District Director
District Manager
Doctor
Driver
Ecommerce
Educator
Electrical Engineer
Electrician
Electronic Tech
Employee
Employee/Student
Engineer
Entertainer
Entrepreneur
Executive
FAA Inspector
Facility Maintenance
Farm Manager
Field Service Engineer
Finance
Financial Advisor
Financial Analyst
Financial Planner
Financial/Accounting
Firefighter
Fitness Consultant
Flooring Contractor
Florist
Food Broker
General Surgeon
Government/DOD
Government/Public Ad
Health Care Manager
Higher Ed Alumni
Homemaker
House Wife
Housekeeping
Housewife
Human Resources
HVAC
Industrial Designer
Information Technology
Instructor
Insurance
Interior Decorator
IT Analyst
IT Architect
IT Consultant
IT Manager
IT Technician
Journalist
Judge
Laborer
Landscape Architect
Law/Lawyers
Lawenforcement
Legal Secretary
Letter Carrier
Maintenance
Manager
Marketing Consulant
Marketing Manager
Mechanic
Media Specialist
Medical Coder
Medical/Hospital/Doctor
Military
Mortgage Loan Officer
Mortgage Loan Underwriter
MRI Technologist
Music Coordinator
Neuropsychologist
News
Non-Profit Medical Research
Nurse
Nurse Educator
Nurse Practioner
Occupational Therapy
Office Administration
Office Manager
Office/Clerical
Operator Embroidery
Painter
Paramedic
Pharmacist
Pharmacy
Physical Therapist
Physican Assistant
Physician
Pilot
Plant Director
Plumbing
Police Officer
Power Company Lineman
Professor
Program Manager
Programmer
Project Manager
Psychologist
Psychology Instructor
Purchaser
Purchasing Director
Quality Compliance Manager
Quality Engineer
Ramp Agent
Real Estate
Receptionist
Referee
Respiratory Therapist
Restaurant Owner
Retail Manager
Retired
RN
Sales
Sales Associate
Schol Counsellor
School Principal
Science/Tech/Engineer
Self Employed
Service Manager
Shared Services Professional
Sheet Metal Worker
Social Worker
Software Analyst
Software Developer
Software Engineer
Sonographer
Student
Superintendent
Supply Support
Surgeon
Teacher
Teacher Assistant
Teacher's Aide
Technical Account Mngr
Technician
Tennis Coach
Therapist
Treasurer
Truck Driver
Unemployed
VA Service Officer
Veterinarian
Volunteer
VP of Operations
Waitress
Spec Needs
Arthritic
Asthma
Blind
Cancer
Deaf
Disabled
Emphysema
Hearing Impaired
Heart Disease
Impaired Mobility
Manic Depression
Multiple Sclerosis
Prostate Cancer
Visually Impaired
Wheel Chair
Phone 1
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* Baptism
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No
Date
* 1st Holy Communion
Yes
No
Date
* Confirmation
Yes
No
Date
Cath. Marriage
Yes
No
Date
Spouse
Title
None
Mr.
Ms.
Mrs.
Dr.
M/M
D/M
M/D
First Name
Last Name
Middle Name
Nickname
Relationship
1-Head
3-Adult
4-Child
Spouse
Maiden Name
Nationality
*Other
African
African American
American
Arabic
Argentinan
Asian
Asian/Indian
Brazilian
British
Canadian
Chilean
Chinese
Colombian
Costa Rica
Cuban
Czech Republic
Dominican
Ecuador
English
Filipino
German
Haitian
Hispanic
Irish
Italian
Italian/American
Japanese
Latina
Latina/o
Latino
Maltese
Mexican
Nigerian
Pacific
Peruvian
Polish
Portugese
Puerto Rican
Scandanavian
Slovak
South Korea
Venezuelan
Vietnamese
Birth Date
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
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2025
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2027
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2077
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2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
2145
Gender
Male
Female
Language Spoken
1-English
1-English/Spanish
2-English/Spanish
2-Spanish
3-Spanish
4-English/Portuguese
5-English/Tagalog
English
English/French
English/Italian
English/Portuguese
English/Spanish
English/Tagalog
Other
Portuguese/English
Life Status
1-Single
2-Engaged
3-Married
4-Separated
5-Divorced
6-Widowed
Annulled
Engaged
Partnered
Religious
Separated
Religion
Assembly of God
Baptist
Buddhist
Catholic
Christian
Church of God
Congregational
Eastern Rite Orthodox
Episcopalian
Evangelical
Greek Orthodox
Hindu
Jewish
Latter Day Saints
Lutheran
Methodist
Muslim
Nazarene
Non-Denominational
None
Other
Pentecostal
Presbyterian
Protestant
Unbaptized
Occupation
*Other
A/C Technician
Academic/Education
Access Center Specialist
Account Executive
Accountant
Accounting/Bookkeeping
Administrator
Advancement/Fundraising
Advertising/Marketing
Aerospace Engineer
Air Conditioning
Airplane Mechanic
Analyst
Apartment Manager
APRN
Architecture/Construction
Army Officer
Army Reserve
Athletic Trainer
Attorney
Auditor
Auto Mechanic
Auto/Body Painting
Aviation
Avionics Technicial
Baker
Banking
Barber
Bartender
Beautician
Biostatistician
Bricklayer
Bus Driver
Business Analyst
Business Executive
Business Manager
Business Owner
Business Specialist
Butcher
Buyer
Cardiac Perfusionist
Caregiver
Carpenter
Case Manager
Caterer
Chemical Engineer
Child Care
Chiropractor
Civil Service
Claims Adjuster
Clerical/Secretary
Client Relations
Clinical Nurse Educator
Clinical Social Worker
Coaching/Advertising
College Professor
Communications/Marketing
Computers & IT
Construction
Consultant
Consumer Lender
Contractor
Correctional Officer
CPA
Custom Manufacturing
Cyber
Data Governances
Datatech
Dental Assistant
Dental Hygienist
Dentist
Deputy Sheriff
Development
Dir of Marketing/Commun
Director
Director Data Mgmt.
Director of Maintenance
District Director
District Manager
Doctor
Driver
Ecommerce
Educator
Electrical Engineer
Electrician
Electronic Tech
Employee
Employee/Student
Engineer
Entertainer
Entrepreneur
Executive
FAA Inspector
Facility Maintenance
Farm Manager
Field Service Engineer
Finance
Financial Advisor
Financial Analyst
Financial Planner
Financial/Accounting
Firefighter
Fitness Consultant
Flooring Contractor
Florist
Food Broker
General Surgeon
Government/DOD
Government/Public Ad
Health Care Manager
Higher Ed Alumni
Homemaker
House Wife
Housekeeping
Housewife
Human Resources
HVAC
Industrial Designer
Information Technology
Instructor
Insurance
Interior Decorator
IT Analyst
IT Architect
IT Consultant
IT Manager
IT Technician
Journalist
Judge
Laborer
Landscape Architect
Law/Lawyers
Lawenforcement
Legal Secretary
Letter Carrier
Maintenance
Manager
Marketing Consulant
Marketing Manager
Mechanic
Media Specialist
Medical Coder
Medical/Hospital/Doctor
Military
Mortgage Loan Officer
Mortgage Loan Underwriter
MRI Technologist
Music Coordinator
Neuropsychologist
News
Non-Profit Medical Research
Nurse
Nurse Educator
Nurse Practioner
Occupational Therapy
Office Administration
Office Manager
Office/Clerical
Operator Embroidery
Painter
Paramedic
Pharmacist
Pharmacy
Physical Therapist
Physican Assistant
Physician
Pilot
Plant Director
Plumbing
Police Officer
Power Company Lineman
Professor
Program Manager
Programmer
Project Manager
Psychologist
Psychology Instructor
Purchaser
Purchasing Director
Quality Compliance Manager
Quality Engineer
Ramp Agent
Real Estate
Receptionist
Referee
Respiratory Therapist
Restaurant Owner
Retail Manager
Retired
RN
Sales
Sales Associate
Schol Counsellor
School Principal
Science/Tech/Engineer
Self Employed
Service Manager
Shared Services Professional
Sheet Metal Worker
Social Worker
Software Analyst
Software Developer
Software Engineer
Sonographer
Student
Superintendent
Supply Support
Surgeon
Teacher
Teacher Assistant
Teacher's Aide
Technical Account Mngr
Technician
Tennis Coach
Therapist
Treasurer
Truck Driver
Unemployed
VA Service Officer
Veterinarian
Volunteer
VP of Operations
Waitress
Spec Needs
Arthritic
Asthma
Blind
Cancer
Deaf
Disabled
Emphysema
Hearing Impaired
Heart Disease
Impaired Mobility
Manic Depression
Multiple Sclerosis
Prostate Cancer
Visually Impaired
Wheel Chair
Phone 1
1-Preferred
2-Cellular
3-Landline
4-Office
5-Other
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Email 1
Other
Preferred E-mail
Unlisted
Sacraments (Y/N)
Baptism
Yes
No
Date
1st Holy Communion
Yes
No
Date
Confirmation
Yes
No
Date
Cath. Marriage
Yes
No
Date
Family Street Address
* Line 1
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* City
* State
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Prince Edward Island (PE)
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Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
* ZIP
Subdivision
Bainbridge Apartments
Beacon Park
Bellanona Estates
Belle View Lake Nona
Blackstone
Bridgewalk
Creekside
Eagle Creek
East Lake Reserve
East Park
Enclave - Village Walk
Fells Cove
Fells Landing
Hammock Pointe
Hanover Reserve
Isles of Lake Nona
Lake Ajay
Lake Nona
Lake Pointe
Lake Preserve
Lakeshore at Narcoossee
Laureate Park
Live Oak Estates
MAA Randal Lake
Meridian Parks
Mill Stream
Moss Park
Moss Park Landings
Myrtle Creek
Narcoossee Del Sol
Nona Crest
Nona Preserve
North Lake Park
North Point
North Shore
North Shore at Lake Hart
Nova Grove
Nova Park
Pixon Apartments
Preserves-Laureate Park
Randal Park
Remington
Rural Settlement
Savannah Pines
South Lakes (Harmony)
Split Oak Estates
Split Oaks
Stone Forrest
Stonebrooke
Stonewood Estates
Storey Park
Stratford Pointe
Sugar Mill
Sunbridge - Del Webb
Sunset Grove
The Gatherings
The Verandas
Turtle Creek
Twin Lakes
Village Walk
Waters Edge
Weslyn Park
Whaley's Creek
Mailing Address
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Line 2
City
State
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Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
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Delaware (DE)
District of Columbia (DC)
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Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (NP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
ZIP
Summer/Winter Address
Line 1
Line 2
City
State
Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federated States of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (NP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
ZIP
Family Primary Phone
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
* Primary
1-Preferred
2-Cellular
3-Landline
4-Office
5-Other
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Email
* Email
Other
Preferred E-mail
Unlisted
Send Email Instead of Mail When Possible
Family Remarks
Pet's Names
Household Member 1
Head of Household
Spouse
Adult
Young Adult
Child
Other
Title
None
Mr.
Ms.
Mrs.
Dr.
M/M
D/M
M/D
First Name
Last Name
Middle Name
Nickname
Relationship
1-Head
3-Adult
4-Child
Spouse
Maiden Name
Nationality
*Other
African
African American
American
Arabic
Argentinan
Asian
Asian/Indian
Brazilian
British
Canadian
Chilean
Chinese
Colombian
Costa Rica
Cuban
Czech Republic
Dominican
Ecuador
English
Filipino
German
Haitian
Hispanic
Irish
Italian
Italian/American
Japanese
Latina
Latina/o
Latino
Maltese
Mexican
Nigerian
Pacific
Peruvian
Polish
Portugese
Puerto Rican
Scandanavian
Slovak
South Korea
Venezuelan
Vietnamese
Birth Date
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
2145
Gender
Male
Female
Grade
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Confirmation
Catechumen
Adult
Children
Not Baptized
Baptism/FHC
All
RCIA
FHC
FHC & Conf
RCIC
College
Associate's
Bachelor's
Master's
Doctorate
7th-10th
3rd-6th
9th-12th
7th - 8th
4th-6th
High School Dipolma
Families
2nd-3rd
First Holy Communion
Baptism/FHC/Confirm
Language Spoken
1-English
1-English/Spanish
2-English/Spanish
2-Spanish
3-Spanish
4-English/Portuguese
5-English/Tagalog
English
English/French
English/Italian
English/Portuguese
English/Spanish
English/Tagalog
Other
Portuguese/English
Life Status
1-Single
2-Engaged
3-Married
4-Separated
5-Divorced
6-Widowed
Annulled
Engaged
Partnered
Religious
Separated
Religion
Assembly of God
Baptist
Buddhist
Catholic
Christian
Church of God
Congregational
Eastern Rite Orthodox
Episcopalian
Evangelical
Greek Orthodox
Hindu
Jewish
Latter Day Saints
Lutheran
Methodist
Muslim
Nazarene
Non-Denominational
None
Other
Pentecostal
Presbyterian
Protestant
Unbaptized
Occupation
*Other
A/C Technician
Academic/Education
Access Center Specialist
Account Executive
Accountant
Accounting/Bookkeeping
Administrator
Advancement/Fundraising
Advertising/Marketing
Aerospace Engineer
Air Conditioning
Airplane Mechanic
Analyst
Apartment Manager
APRN
Architecture/Construction
Army Officer
Army Reserve
Athletic Trainer
Attorney
Auditor
Auto Mechanic
Auto/Body Painting
Aviation
Avionics Technicial
Baker
Banking
Barber
Bartender
Beautician
Biostatistician
Bricklayer
Bus Driver
Business Analyst
Business Executive
Business Manager
Business Owner
Business Specialist
Butcher
Buyer
Cardiac Perfusionist
Caregiver
Carpenter
Case Manager
Caterer
Chemical Engineer
Child Care
Chiropractor
Civil Service
Claims Adjuster
Clerical/Secretary
Client Relations
Clinical Nurse Educator
Clinical Social Worker
Coaching/Advertising
College Professor
Communications/Marketing
Computers & IT
Construction
Consultant
Consumer Lender
Contractor
Correctional Officer
CPA
Custom Manufacturing
Cyber
Data Governances
Datatech
Dental Assistant
Dental Hygienist
Dentist
Deputy Sheriff
Development
Dir of Marketing/Commun
Director
Director Data Mgmt.
Director of Maintenance
District Director
District Manager
Doctor
Driver
Ecommerce
Educator
Electrical Engineer
Electrician
Electronic Tech
Employee
Employee/Student
Engineer
Entertainer
Entrepreneur
Executive
FAA Inspector
Facility Maintenance
Farm Manager
Field Service Engineer
Finance
Financial Advisor
Financial Analyst
Financial Planner
Financial/Accounting
Firefighter
Fitness Consultant
Flooring Contractor
Florist
Food Broker
General Surgeon
Government/DOD
Government/Public Ad
Health Care Manager
Higher Ed Alumni
Homemaker
House Wife
Housekeeping
Housewife
Human Resources
HVAC
Industrial Designer
Information Technology
Instructor
Insurance
Interior Decorator
IT Analyst
IT Architect
IT Consultant
IT Manager
IT Technician
Journalist
Judge
Laborer
Landscape Architect
Law/Lawyers
Lawenforcement
Legal Secretary
Letter Carrier
Maintenance
Manager
Marketing Consulant
Marketing Manager
Mechanic
Media Specialist
Medical Coder
Medical/Hospital/Doctor
Military
Mortgage Loan Officer
Mortgage Loan Underwriter
MRI Technologist
Music Coordinator
Neuropsychologist
News
Non-Profit Medical Research
Nurse
Nurse Educator
Nurse Practioner
Occupational Therapy
Office Administration
Office Manager
Office/Clerical
Operator Embroidery
Painter
Paramedic
Pharmacist
Pharmacy
Physical Therapist
Physican Assistant
Physician
Pilot
Plant Director
Plumbing
Police Officer
Power Company Lineman
Professor
Program Manager
Programmer
Project Manager
Psychologist
Psychology Instructor
Purchaser
Purchasing Director
Quality Compliance Manager
Quality Engineer
Ramp Agent
Real Estate
Receptionist
Referee
Respiratory Therapist
Restaurant Owner
Retail Manager
Retired
RN
Sales
Sales Associate
Schol Counsellor
School Principal
Science/Tech/Engineer
Self Employed
Service Manager
Shared Services Professional
Sheet Metal Worker
Social Worker
Software Analyst
Software Developer
Software Engineer
Sonographer
Student
Superintendent
Supply Support
Surgeon
Teacher
Teacher Assistant
Teacher's Aide
Technical Account Mngr
Technician
Tennis Coach
Therapist
Treasurer
Truck Driver
Unemployed
VA Service Officer
Veterinarian
Volunteer
VP of Operations
Waitress
Spec Needs
Arthritic
Asthma
Blind
Cancer
Deaf
Disabled
Emphysema
Hearing Impaired
Heart Disease
Impaired Mobility
Manic Depression
Multiple Sclerosis
Prostate Cancer
Visually Impaired
Wheel Chair
Phone 1
1-Preferred
2-Cellular
3-Landline
4-Office
5-Other
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Email 1
Other
Preferred E-mail
Unlisted
Sacraments (Y/N)
Baptism
Yes
No
Date
1st Reconciliation
Yes
No
Date
1st Holy Communion
Yes
No
Date
Confirmation
Yes
No
Date
Cath. Marriage
Yes
No
Date