OCIA Applicant Information Form
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Birth Date?
*
-
Month
-
Day
Year
Date
Parent's Names
*
Father
Mother with Maiden Name
Your Religion
*
Current Religion?
Registered at a parish?
Have you been baptized?
*
Catholic
Other
No
Date Baptized?
-
Month
-
Day
Year
Date
Where were you baptized?
Church
Street Address
City
State / Province
Postal / Zip Code
Godparent's Names?
Godfather
Godmother
Have you received 1st Communion in a Catholic Church?
*
Yes
No
Date of 1st Communion?
-
Month
-
Day
Year
Date
Where did you receive 1st Communion?
Church
Street Address
City
State / Province
Postal / Zip Code
Have you been confirmed in a Catholic Church?
*
Yes
No
Date of Confirmation?
-
Month
-
Day
Year
Date
Where were you Confirmed?
Church
Street Address
City
State / Province
Postal / Zip Code
Are you married/engaged?
*
Yes
No
Enagaed
Spouse's/Fiancé Name
First
Last w/ Maiden
How many times have you been married?
*
How many times has your spouse/fiancé been married?
If engaged, what is the date of your wedding?
-
Month
-
Day
Year
Date
Fiancé Contact Information?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Back
Next
Save
Applicant Marriage Information
List all the current and past marriages for the applicant
Applicant Marriage One
Spouse Name
First
Last w/ Maiden
Their Religion
Date of Marriage
-
Month
-
Day
Year
Date
Where were you married?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
How did the marriage end?
Current
Divorce
Death
Has this marriage ever been officially declared invalid by the Catholic Church?
Yes
No
In Process
When was it declared invalid?
-
Month
-
Day
Year
Date
Applicant Marriage Two
Spouse Name
First
Last w/ Maiden
Their Religion
Date of Marriage
-
Month
-
Day
Year
Date
Where were you married?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
How did the marriage end?
Current
Divorce
Death
Has this marriage ever been officially declared invalid by the Catholic Church?
Yes
No
In Process
When was it declared invalid?
-
Month
-
Day
Year
Date
Applicant Marriage Three
Spouse Name
First
Last w/ Maiden
Their Religion
Date of Marriage
-
Month
-
Day
Year
Date
Where were you married?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
How did the marriage end?
Current
Divorce
Death
Has this marriage ever been officially declared invalid by the Catholic Church?
Yes
No
In Process
When was it declared invalid?
-
Month
-
Day
Year
Date
Are there additional marriages to add for the applicant?
Yes
No
Back
Next
Save
Spouse/Fiancé Marriage Information
List all the current and past marriages for your spouse or fiancé
Spouse/Fiancé Marriage One
Spouse Name
First
Last w/ Maiden
Their Religion
Date of Marriage
-
Month
-
Day
Year
Date
Where were you married?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
How did the marriage end?
Current
Divorce
Death
Has this marriage ever been officially declared invalid by the Catholic Church?
Yes
No
In Process
When was it declared invalid?
-
Month
-
Day
Year
Date
Spouse/Fiancé Marriage Two
Spouse Name
First
Last w/ Maiden
Their Religion
Date of Marriage
-
Month
-
Day
Year
Date
Where were you married?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
How did the marriage end?
Current
Divorce
Death
Has this marriage ever been officially declared invalid by the Catholic Church?
Yes
No
In Process
When was it declared invalid?
-
Month
-
Day
Year
Date
Spouse/Fiancé Marriage Three
Spouse Name
First
Last w/ Maiden
Their Religion
Date of Marriage
-
Month
-
Day
Year
Date
Where were you married?
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
How did the marriage end?
Current
Divorce
Death
Has this marriage ever been officially declared invalid by the Catholic Church?
Yes
No
In Process
When was it declared invalid?
-
Month
-
Day
Year
Date
Are there additional marriages to add for the spouse?
Yes
No
Save
Submit
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