OCIA INQUIRY FORM
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Middle Initial
Last Name
Contact Information
Home Phone
Format: (000) 000-0000.
Cell Phone
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you been baptized
*
Yes
No
If so, name of church
City, State
Have you received your first communion
Yes
No
Have you been confirmed
Yes
No
Are you married
Yes
No
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Next
If so, were you married in the Catholic Church
Yes
No
In a few short sentences, tell us why you are interested in the Catholic Faith
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