Order of Christian Initiation of Adults (OCIA)
Inquiry Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email (most often checked)
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Information
We'd love to learn a little more about your faith journey
Date of Birth
-
Month
-
Day
Year
Date
Place of Birth
include town/city, region (state, province, territory), and country (if born outside of USA)
Father's Full Name
Father's Religion
Mother's Name
Mother's Maiden Name
Mother's Religion
What, if any, is your current religious affiliation?
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Baptism Information
Have you been baptized
Please Select
Catholic
Christian
Never Baptized
If baptized Christian, in which church or denomination were you baptized?
Baptismal Name
if different from current name
Approximate age of baptism
Baptism Location
church name or location name other than church
Location address (if known)
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If baptized Catholic, which sacraments have you already received:
Rows
Yes
No
Penance (Confession)
Eucharist (First Holy Communion
Confirmation
Additional Information
This will allow us to determine the correct path for your training.
Is there any Eastern Catholic of Easter Orthodox membership in your family background?
Yes
No
Unsure
If yes, please describe.
Have you ever been accepted as a catechumen or candidate for full communion in the Catholic Church?
Yes
No
Unsure
If yes, when?
-
Month
-
Day
Year
Date
Where?
Marital Status
Current marital status:
Never married
Engaged to be married
Married
Married but separated
Divorced and not remarried
Divorced and remarried
Widow/Widower and have not remarried
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Engaged Couples
Fiancé(é) Name
First Name
Last Name
Fiancé(é) Religious Affiliation
Is this?
Rows
First Marriage
Previously Married
Your
Your Fiancé(é
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Marriage Information
including separated, divorced or widowed
Spouses Name
First Name
Last Name
Spouses Religious Affiliation
Marriage Date
-
Month
-
Day
Year
Date
Place of Marriage to Current Spouse
church/courthouse, town, county, state) if outside the US, please include region, province, territory and country)
Officiating Authority of Marriage
civil government, non-Christian minister, Christian minister, Catholic clergy, etc.
If divorced, enter Final Divorce Decree date
-
Month
-
Day
Year
Date
If widowed, enter date of spouse's death
-
Month
-
Day
Year
Date
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Questions for Us
It's your turn!
Do you have any questions or concerns do you have about the Catholic Church?
OCIA meets on Monday evenings. Do you anticipate any conflicts with this schedule?
Yes
No
Unsure
If yes, what conflicts do you anticipate?
Other comments or questions?
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Office Use Only
In speaking with the candidate, the following statement best describes their present feelings about joining the Church
Need much more information about the Catholic Church
Am considering joining, however still unsure.
Am fairly certain they will join, however need more time to study and pray on decision
Am fairly certain they want to join the Church.
Notes
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