OCIA Interest Form
Candidate/Catechumen Details:
Full Name
*
First Name
Last Name
Preferred Name or Nickname (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth
*
Father's Name
*
First Name
Last Name
Mother's Name (Please Include Maiden Name)
*
First Name
Last Name
Marital Status
*
Never been Married
Married
Engaged
Separated
Divorced
Widow/Widower
If Married, and this is your first marriage, please fill out the following
Spouse's Name
First Name
Last Name
Spouse's Religion
Place of Marriage
Date of Marriage
-
Month
-
Day
Year
Date
Was your marriage validated (blessed) by the Roman Catholic Church?
Yes
No
Unsure
If Engaged to be Married, please fill out the following
Name of Future Spouse
First Name
Last Name
Religion of Future Spouse
Scheduled Place of Marriage
Scheduled Marriage Date
-
Month
-
Day
Year
Date
Was your future spouse ever married before?
Yes
No
If you or your spouse/fiance have been previously married please fill out the following
Name of Your Previous Spouse (Please include Maiden Name if Applicable)
First Name
Last Name
Religion of Previous Spouse
Place of Marriage
Date of Marriage
-
Month
-
Day
Year
Date
How did the Marriage end?
Death
Divorce
Annulment
Name of Your Current Spouse/Fiance's Previous Spouse (Please include Maiden Name if Applicable)
First Name
Last Name
Religion of Previous Spouse
Place of Marriage
Date of Marriage
-
Month
-
Day
Year
Date
How did the Marriage end?
Death
Divorce
Annulment
Have you been Baptized?
*
Yes
No
Unsure
If yes, in what Denomination?
Place of Baptism (Please Include City and State)
Date of Baptism
-
Month
-
Day
Year
Date
Minister of Baptism
Have you received Reconciliation (made your first Confession)?
*
Yes
No
Unsure
Have your received First Eucharist/First Holy Communion?
*
Yes
No
Unsure
If yes, in what Denomination?
Place of First Communion (Please include City and State)
Date of First Communion
-
Month
-
Day
Year
Date
Have You Received Confirmation?
*
Yes
No
Unsure
If yes, in what Denomination?
Place of Confirmation (Please include City and State)
Date of Confirmation
-
Month
-
Day
Year
Date
What brought you to St James the Apostle Parish?
Additional Notes:
Submit
Should be Empty: