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1. First, tell us a bit about yourself.

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Female Male Sex

Birth Date (MM/DD/YYYY)

20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926 High School Grad. Year

2. Are you currently attending college or grad school?

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3. Affiliations (Employers, teams, clubs, alma maters, etc)

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4. Residences (Include school & home addresses)

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5. Diocese & Parish (Include home & school parish, if applicable)

    Birmingham    Mobile    Anchorage-Juneau    Fairbanks    Holy Protection of Mary Byzantine Catholic Eparchy of Phoenix    Phoenix    Tuscon    Little Rock    Aremenian Catholic Eparchy of Our Lady of Nareg in the USA & Canada    Chaldean Catholic Eparchy of St. Peter the Apostle    Fresno    Los Angeles    Monterey    Oakland    Orange    Sacramento    San Bernardino    San Diego    San Francisco    San Jose    Santa Rosa    Stockton    Colorado Springs    Denver    Pueblo    Bridgeport    Hartford    Norwich    Ukrainian Catholic Eparchy of Stamford    Wilmington    Archdiocese of the Military Services    Washington    Miami    Orlando    Palm Beach    Pensacola-Tallahassee    St. Augustine    St. Petersburg    Venice    Atlanta    Savannah    Honolulu    Boise    Belleville    Chicago    Joliet    Peoria    Rockford    Springfield    St. Nicholas of Chicago for Ukrainians    St. Thomas Cyro Malabar Dioceses of Chicago    Evansville    Fort Wayne - South Bend    Gary    Indianapolis    Lafayette    Davenport    Des Moines    Dubuque    Sioux City    Dodge City    Kansas City    Salina    Wichita    Covington    Lexington    Louisville    Owensboro    Alexandria    Baton Rouge    Houma-Thibodaux    Lafayette    Lake Charles    New Orleans    Shreveport    Portland    Baltimore        Boston    Eparchy of Newton    Fall River    Springfield    Worcester    Chaldean Eparchy of St. Thomas the Apostle    Detroit    Gaylord    Grand Rapids    Kalamazoo    Lansing    Marquette    Saginaw    Syriac Catholic Diocese of Our Lady of Deliverance in the United States    Crookston    Duluth    New Ulm    St. Cloud    St. Paul and Minneapolis    Winona-Rochester    Biloxi    Jackson    Jefferson City    Kansas City-St. Joseph    Maronite Eparchy of Our Lady of Lebanon    Springfield-Cape Girardeau    St. Louis    Great Falls-Billings    Helena    Grand Island    Lincoln    Omaha    Las Vegas    Reno    Manchester    Byzantine Catholic Eparchy of Passaic    Camden    Metuchen    Newark    Paterson    Trenton    Gallup    Las Cruces    Santa Fe    Albany    Brooklyn    Buffalo    Eparchy of St. Maron of Brooklyn    New York    Ogdensburg    Rochester    Rockville Centre    Syracuse    Syro-Malankara Catholic Eparchy in the USA    Charlotte    Raleigh        Bismarck    Fargo    Cincinnati    Cleveland    Columbus    Eparchy of Parma    Eparchy of St. George in Canton for the Romanians    Steubenville    Toledo    Ukrainian Catholic Eparchy of St. Josaphat-Parma    Youngstown    Oklahoma City    Tulsa    Baker    Portland    Allentown    Altoona-Johnstown    Byzantine Catholic Archeparchy of Pittsburgh    Erie    Greensburg    Harrisburg    Philadelphia    Pittsburgh    Scranton    Ukrainian Catholic Archeparchy of Philadelphia    Providence    Charleston    Rapid City    Sioux Falls    Knoxville    Memphis    Nashville    Amarillo    Austin    Beaumont    Brownsville    Corpus Christi    Dallas    Diocese of the Personal Ordinariate of the Chair of St. Peter    El Paso    Fort Worth    Galveston-Houston    Laredo    Lubbock    San Angelo    San Antonio    Tyler    Victoria    Salt Lake City    Burlington    Arlington    Richmond    Seattle    Spokane    Yakima    Wheeling-Charleston    Green Bay    La Crosse    Madison    Milwaukee    Superior    Cheyenne    Arundel and Brighton    Birmingham    Brentwood    Cardiff    Clifton    East Anglia    Hallam    Hexham and Newcastle    Lancaster    Leeds    Liverpool    Menevia    Middlesbrough    Northampton    Nottingham    Plymouth    Portsmouth    Salford    Shrewsbury    Southwark    Westminster    Wrexham    Achonry    Ardagh and Clonmacnoise    Armagh    Cashel and Emly    Clogher    Clonfert    Cloyne    Cork and Ross    Derry    Down and Connor    Dromore    Dublin    Elphin    Ferns    Kerry    Kildare and Leighlin    Killala    Killaloe    Kilmore    Limerick    Meath    Ossory    Raphoe    Tuam    Waterford and Lismore    Calgary    Edmonton    Grouard-McLennon    Saint-Paul    Kamloops    Nelson    Prince George    Vancouver    Victoria    Whitehorse    Churchhill-Hudson Bay    Keewatin-Le Pas    Saint-Boniface    Winnipeg    Bathurst    Edmundston    Moncton    Saint John    Corner Brook and Labrador    Grand Falls    St. John's    MacKenzie-Fort Smith    Antigonish    Halifax-Yarmouth    Churchhill-Hudson Bay    MacKenzie-Fort Smith    Hamilton    Hearst-Moosonee    Keewatin-Le Pas    Kingston    London    Ottowa-Cornwall    Pembroke    Peterborough    Sault Ste-Marie    St. Catharines    Thunder Bay    Timmins    Toronto    Charlottetown    Amos    Baie-Comeau    Chicoutimi    Gaspe    Gatineau    Joliette    Montreal    Nicolet    Quebec    Rimouski    Rouyn-Noranda    Saint-Hyacinthe    Saint-Jean-Longueuil    Saint-Jerome-Mont-Laurier    Sainte-Anne-de-la-Pocatiere    Sherbrooke    Trois-Rivieres    Valleyfield    Keewatin-Le Pas    MacKenzie-Fort Smith    Prince Albert    Regina    Saskatoon    Whitehorse Diocese*

Parish*

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6. Interests (Select all that apply.)

A CappellaActingAdventure RacesAirsoftArcheryArtAstronomy, Stargazing, etc.AviationBackpackingBakingBalletBallroom DancingBaseballBasketballBeachBeer BrewingBible StudyBikingBilliards/PoolBirdwatchingBoard GamesBoatingBowlingBoxingCalligraphyCampingCanoeingCard GamesCarsChessChoirCigarsClassic LiteratureClassical EducationClassical MusicCodingCoffee RoastingCoffee ShopsCollege BasketballCollege FootballComedyConcertsCookingCraftingCreative WritingCross-Country SkiingCrossFitDancingDiningDivingDocumentariesDodgeballDogsDrawingEmergency PreparednessEntrepreneurshipEscape RoomsEuropean Football (Soccer)Exodus 90Fantasy SportsFarmers marketFarmingFencingFilmFirearms TrainingFishingFlag FootballFolk/Bluegrass MusicFootballForeign LanguagesFrisbee GolfGamingGardeningGeocachingGolfGraphic DesignGun OwnershipGymnasticsHackingHikingHistoryHIT Training, Pilates, Barre, etc.HockeyHome ImprovementHomepathy/HerbalismHomeschoolingHorseback RidingHuntingIce SkatingImprovJiu JitsuJugglingKayakingKickballKnights of ColumbusKnitting, Crochet, etc.Local WildlifeLongboardingMarathonsMathMetalworkingMiniature GolfMotorcrossMountain BikingMuseumsMusicMusic Jam SessionsMusical InstrumentsMusicalsNational ParksNature WalksNoneNutrition/WellnessOperaOrchestraPaddle BoardingPaintballPaintingPhilanthropyPhilosophyPhotographyPickleballPicnicsPing Pong / Table TennisPodcastingPoetryPokerPotteryPro-Life ActivismPuzzlesReading / Book ClubsRecently Married CouplesRoboticsRock ClimbingRoller SkatingRope CoursesRugbyRunningSailingScrapbookingScuba DivingSculpting/CarvingSelf-DefenseServing the ElderlyServing the PoorServing the SickSewingSightseeingSign LanguageSingingSkateboardingSkiingSnowboardingSnowshoeingSoftballSpikeballSportsSurfingSurvival SkillsSwimmingSwing DancingSymphonyTarget ShootingTennisTheatreTheology of the BodyTraditional Latin MassTrail RunningTravelTriathlonTriviaUltimate FrisbeeVolleyballWalkingWater SportsWeight TrainingWhitewater KayakingWhitewater RaftingWildlife PhotographyWine TastingWinemakingWoodworkingWoodworking/CarpentryWrestlingWritingYoung MomsYoung Professionals

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