Adult Inquirer Information Form OCIA

Welcome to OCIA!

Saint Susanna and Mary, Queen of Peace Catholic Churches
Which statement best describes your interest in OCIA?

Other
What brings you here?
We’d love to hear a little about what led you to explore OCIA.
Where do you plan to attend Church?

Other
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Full Name

First NameMiddle NameLast Name
Maiden Name (if applicable)
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Place of Birth (City, State, Country)
Father's Name
Mother's Name (include maiden name)
Contact Information
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Daytime Phone
Please enter a valid phone number.Format: (000) 000-0000.
Evening Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Email Address(es)
example@example.com
Religious History
Current Religious Affiliation
Have you been baptized?
If baptized, please provide the following:
Denomination at Baptism
Date or Age at Baptism
Baptismal Name (if different)
Church Name
Church Address/Location
Sacraments Received (check all that apply)
Current Marital Status
Marital Status
If engaged or married, please provide the following:
Fiancé/Spouse Name

First NameLast Name
Fiancé/Spouse Religious Affiliation
Date of Marriage (or planned)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Place of Marriage (church, civil, other)
Officiant Name/Title
Family Information
Dependents
General Questions

These questions are optional. Please share anything you want us to know about your journey so far as we get to know you.
Briefly describe your faith journey so far.
How did you come into contact with the Catholic Church? What has been your experience so far?
Do you have any questions or concerns about becoming Catholic?
How ready do you feel to join the Catholic Church?
Should be Empty:

Welcome to OCIA!

Contact Information

Religious History

If baptized, please provide the following:

Current Marital Status

If engaged or married, please provide the following:

Family Information

General Questions