Adult Inquirer Information Form OCIA
Information is held in confidence and is not shared without your permission.
Todays Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Maiden Name
Date of Birth
Age
Place of Birth
Father's name
Mother's name
CONTACT INFORMATION
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Occupation
Email
example@example.com
RELIGIOUS HISTORY
Religious Affiliation
Have you ever been baptized?
Yes
No
I'm not sure
What denomination were you baptized?
Date or approximate age were you baptized?
Baptismal Name
Place of Baptism
Address if known
Location if known
If you were baptized as a Catholic, check those sacraments you have already recevied.
Penance (Confession)
Eucharist (First Communion)
Confirmation
CURRENT MARITAL STATUS
Check the appropriate statements below and provide the information requested beneath each statement
1. I have never been married
2. I am engaged to be married
a. You fiancés name
b. Your fiancés current religious affiliation if any
c. For you:
This is my first marriage
I have been married before
d. For your fiance:
This is my first marriage
I have been married before
3. I am married
a. Your spouse's name
b. Your spouse's current religious affiliation if any
c. For You
This is my first marriage
I have been married before
d. For Your spouse
This is my spouse's marriage
My spouse been married before
e.Date of marriage
-
Month
-
Day
Year
Date
f. Place of marriage
g. Officiating Authority of Marriage
Civil government, non-Christian minister, Christian minister, Catholic cleric
Type a question
4. I am married, but separated from my spouse
5. I am divorced and I have not remarried
6. I am a widow/widower and have not remarried since my spouse's death
GENERAL QUESTIONS
What or who has led you to want to know more about the Catholic Faith?
Please describe the types of religious education you have received, as a child and as an adult.
What contact have you had with the Catholic Church to date?
What are some of the questions or concerns you have about the Catholic Church?
At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church (check one box)
I need much 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 that I would like to join, but I still need some time to study and pray about it.
I am fairly sure that I want to join the Catholic Church
Submit
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