Register for the Order of Christian Initiation of Adults OCIA Inquiry Form Name * Name First Name First Name Middle Name Middle Name Last Name Last Name Maiden Name (if applicable) Date of Birth * MM/DD/YYYY Place of Birth * City, State Father's Name * Father's Name First Name First Name Last Name Last Name Father's Religion * Mother's Name * Mother's Name First Name First Name Last Name Last Name Maiden Name Maiden Name Mother's Religion * Which parish do you presently attend, if any? * Holy CrossMother of SorrowsSt. CharlesSt. LawrenceNone of these four Contact Information: Address * Address Street Address Street Address City, State City, State Zip / Postal code Zip / Postal code Phone * Email * Religious History: What, if any, is your present religious affiliation? * Have you ever been baptized? * Yes No Unsure or can't remember Please respond to the following few questions if already baptized: If you were baptized in the Catholic Church, which sacraments have you already received? First Penance/Confession/Reconciliation First Communion Confirmation If baptized: in what denomination were you baptized? If baptized: what was the date or approximate age when baptized? If baptized: what was your baptismal name? (if different) If baptized: What is the name and location of the church where baptized? Marital Status: Which describes your marital status? * I have never been married. I am engaged to be married. I am married. I am married, but separated from my spouse. I am divorced and have not remarried. I am a widow and have not remarried. If you answered that you are engaged to be married: If engaged: Fiance's name If engaged: Fiance's religion If engaged: For you This will be my first marriage I have been married before If engaged: For your fiance This will be his/her first marriage She/he has been married before If you answered that you are presently married: If married: Name of spouse If married: Religion of spouse If married: Date of marriage If married: Place of marriage (include as much detail as possible) If married: For you This is my first marriage I have been married before If married: for your spouse This is his/her first marriage She/he has been married before If you have any children, please list their names and ages below: Child #1 Child #1 Age Child #2 Child #2 Age Child #3 Child #3 Age Child #4 Child #4 Age Child #5 Child #5 Age General Questions: What or who has led you to want to know more about the Catholic Faith? * Please describe the religious education you have received, as a child and as an adult? * What contact have you had with the Catholic Church to date? * What are some questions or concerns you have about Catholicism? * Which of the following best describes you present feelings about becoming Catholic? * I am fairly sure that I want to join the Catholic Chuch I am fairly sure that I would like to join the Catholic Church, but need additional time to pray and study about it I am considering joining the Catholic Church, but I am unsure about it I need more information about the Catholic Church before I would consider joining Captcha Submit If you are human, leave this field blank.
