Becoming Catholic—OCIA Information Form

Contact Information

First Name *

Middle Name

Last Name *

Maiden Name (if Applicable)

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Email Address

Family Phone

Cell Phone

Do you prefer text messages?YesNo

Occupation/Employer

Birthdate

Month

Day

Year

Birthplace

Father's Name

Father's Religion

Mother's NamePlease include maiden name

Mother's Religion

Faith Background

Have you ever been baptized? *NoYes

Which religion?

Have you ever received First Communion? *NoYes

Name of church and date

Have you ever been confirmed? *NoYes

Name of the church and date

Did you attend faith formation classes as a child? *NoYes

How many years?

Name of church?

Interest Information

What brings you to OCIA at this time?

Check all that applyI definitely want to become a Roman Catholic.I am considering becoming a Roman Catholic.‬ ‭I am not sure at this time, but I want to learn more.‬ ‭I am a Roman Catholic, but I have had little contact with the Church/knowledge of the‬ ‭ faith‬.I was baptized Roman Catholic, but I have not received all the Sacraments of Initiation.‬ ‭Other

Meeting preferences/availability

Check all that applyIn personZoom/virtualOnline discussionsOnline videos

In-person Preferred Dates & Times

Virtual Preferred Dates & Times

Which weekly Mass do you usually attend?‬‭ *

Please check all of the following statements that apply to you:I am not married.‬ ‭I have never been married.‬I am married in the Roman Catholic Church.I am married outside the Roman Catholic Church.‬ ‭I am separated.I am divorced and have not remarried.‬ ‭I am divorced and have remarried.I have received an annulment.‬ ‭

Other InfoWho/what has led you to inquire about‬‭ OCIA, questions/concerns about the‬ ‭ Catholic Church, anything else you would like to tell us.

Address

Office Hours

Phone

Address

Office Hours

Phone

Address

Office Hours

Phone

Contact Information

Faith Background

Interest Information

Address

Office Hours

Phone

Email

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