OCIA Intake Form

OCIA Intake Form

OCIA Candidate Intake Form
Basic Information
Name*

First NameLast Name
Email*
example@example.com
Date of Birth*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- What is your most recent religion?*
- Were you baptized?*
  
  YesNo
- Religious Background
  
  Grew up Christian but not baptizedJewishMuslimAtheistOther
- In what Church were you baptized?
  
  CatholicEastern OrthodoxProtestantOther ChristianMormon
- Denomination
  What Protestant denomination were you baptized in?
- Were you Confirmed in the Catholic Church?*
  
  YesNo
- Did you receive First Holy Communion?*
  
  YesNo
- Why do you want to become Catholic?*
- How did you find out about the Catholic Church?*
- How did you discover St. Joseph's?*
- How ready are you to become Catholic?*
  
  1
  
  2
  
  3
  
  4
  
  5
  
  1 is Just dipping a toe, 5 is Bring it on
- Are you registered at St. Joseph's?*
  
  YesNo
- Should be Empty: