Adult RCIA Information Form

Adult OCIA Information Form 26/27

Please fill out every question to the best of your knowledge. If a question does not apply, please enter N/A. We will be starting class on Tuesday, Sept 15, from 6 pm to 7 pm. If you have any questions, please feel free to email Dina Veiga at agveiga395@gmail.com or call or text 401-742-9622.
Name
First, Middle, Last Name
Maiden Name (if applicable)
Mother and Father Names:
Date of Birth and Place of Birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Email
example@example.com
occupation
What, if any, is your present religious affiliation?
Have you been baptized?
In what denomination were you baptized?
Date of your approximate age when you were baptized:
Baptismal name (if different from current name)
Place of Baptism (name of church/denomination/ address):
If you were baptized as a Catholic, check those sacraments you have already received:
Have you been married?
Fiancé Name and Current Religious affiliation
For your fiancé
I am married. Your spouse's name: Religious Affiliation (if any)
For you,
For your spouse
Family Information ( list name and age of any children and other dependents( e.g daughter- Jane; stepson, John )
What or who had led you to want to know more about the Catholic Faith?
Please describe the type of religious education you have recived 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? (Please select one)
Should be Empty:

Adult OCIA Information Form 26/27