OCIA Sign-up Form

Order of Christian Initiation of Adults

(OCIA) Sign-up Form
Your Full Name*

First NameMiddle NameLast Name
Maiden Name (if married)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Country CodeArea CodePhone Number
Email Address*

Confirmation Emailexample@example.com
Date of Birth*

MonthDayYear
City of Birth*
Baptism
What, if any, is your present religious affiliation?
Have you been baptized?*

YesNoI'm not sure
Date (if known)

MonthDayYear
Date
What is the name of the denomination where you were baptized?
Place of Baptism (Name of Church):
Address of Church:
Have you received any other sacraments in the Catholic Church or another church?

Reconciliation (Confession)Holy CommunionConfirmation
Are you currently attending Sunday Mass at a Catholic Church?

Yes, I attend every Sunday and have been for more than a year.Yes, I attend every Sunday and have been for less than a year.Yes I attend Mass, but not every week.No, I'm not attending now, but I used to.No, I am not regularly attending Mass at the time.
At this point in time, which of the following statements best describes your present position regarding joining the Catholic Church?

I need more information about the Catholic Church before I would consider joining.I am considering joining, but i am still unsure about it.I am fairly sure I would join, but still need time to learn and pray.I am confident that I would like to join the Catholic Church.
Marriage
Are you Married?

YesNoI am married but seperated from my spouseI am divorced and have not remarriedI am a widow/widower and have not remarried since the death of my spouse
Spouses Full Name

First NameMiddle NameLast Name
Maiden Name (if applicable)
Location of Marriage (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Marriage

MonthDayYear
Date
Spouse's current Religious Affiliation:

Baptized CatholicBaptized in a Non-Catholic ChurchNot Baptized
For you:

This is my first marriageI have been married before
For your spouse:

This is his or her first marriageHe or She has been married before

Children

	Name	Age	Have they been Baptized?	Becoming Catholic?
Child 1
Child 2
Child 3
Child 4

If Single
Are you engaged or planning to get married soon?

YesNo
Family Information
Father's Full Name

First NameMiddle NameLast Name
Father's Religion
Does he currently practice?
Mother's Full Name

First NameMiddle NameLast Name
(Maiden)
Mother's Religion
Does she currently practice?
General Questions
What or who has led you to want to learn more about the Catholic Faith?
Please describe any religious formation or education you have had so far in your life?
What are some of the questions or concerns you have abou tthe Catholic Faith?
Godparent/Sponsor Requirements

Must be a Catholic who is fully initiated (Baptism, Confirmation, & First Communion)

Must be at least 16 years old

Must be practicing and living out their faith, someone who is a role model of the faith

Should be someone you can have an ongoing relationship with for the rest of your life (but preferably not a spouse or significant other)

-The parish is able to provide a godparent or sponsor if you are unsure of who to select
I understand the requirements for a sponsor and I...

Have someone who will sponsor me.Need a sponsor from the parish.Am not sure about who a good sponsor would be.
Should be Empty:

Order of Christian Initiation of Adults

Baptism

Marriage

If Single

Family Information

General Questions