St. Elizabeth Ann Seton Catholic Community Order of Christian Initiation for Adults (O.C.I.A.) Application & Information Sheet
Name:
First Name
Middle Initial
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip
Phone #:
Format: (000) 000-0000.
email
example@example.com
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Age:
Birthplace:
City/State/Country
*
Present Occupation:
Highest level of education completed:
e.g./ Grammar School, High School Grad, Years of College, etc.
Religious Background:
Are you baptized?
If yes, in which religious tradition
Date of Baptism
Name of Church
City, State
Currently Living With?
Please list marital information below and Names of People with whom you Bore Children.
Rows
Names
Age
Relationship
Date of Birth
1
2
3
4
5
6
7
8
Back
Next
Marital Status
PLEASE CHECK ALL APPLICABLE BOXES:
Marital Status Options
Single (never married)
Living with Future Spouse
Married but separated
Divorced AND Remarried
Civilly Married
Divorced and
Living Single
Married in the Catholic Church
If married, how many times?
Please list marital information below and Names of People with whom you Bore Children.
Rows
Spouse's or Partner's Name
Date of Marriage
Location of Marriage (Facility or Church Name)
Period of Time Together (Married or Non-Married)
Date of Divorce
Number of Children Born
1
2
3
4
5
6
Father's Full Name:
Religious Background:
Back
Next
Mother's Name & Maiden Name:
Religious Background:
Parents Married?
Years of marriage:
Catholic Marriage?
Documents that need to accompany this Application (if applicable):
Birth Certificate
Baptismal Certificate (if applicable)
Marriage Certificate (s) (if applicable)
Final Decree (s) of Divorce (if applicable)
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