OCIA Adult Inquirer

Information Form

Information on this form is held in confidence and not shared without your permission

Name: First, Middle, Last*

Maiden Name (If applicable)

Date of Birth*

Father’s Name*

Mother’s Name*

Mother’s Maiden Name*

Please Check which Parish you are with*

Saint Alexander
SS Peter and Paul
St. Vincent De Paul
Our Lady Queen of Heaven
St. Lawrence
Other

Contact Information

Address*

Email*

Phone Number*

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Contact Information

What, if any, is your present religious affiliation?

Have you ever been baptized?*

Yes
No
I am not sure

Current Marital Status

Check the appropriate statement(s) below and provide any information requested beneath each statement.

1. I have never been married in any type of ceremony, religious or secular(civil)

2. I am engaged to be married

3. I am married

4. I am married, but separated from my spouse.

5. I am divorced and have not remarried

6. I am divorced and have remarried

7. I am a widow/widower and have not remarried since my spouse’s death.

List the name (s) of any children or other dependants (e.g.) Daughter - Jane; stepson - John).

Relationship

Name

Date of Birth

Add more children

General Questions

What or who has led you to want to know more about the Catholic Faith?*

Please describe the types of 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 of the questions or concerns you have about the Catholic Church?*

At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church?*

I need much more information about the Catholic Church before I would consider joining
I am considering joining, but I am still unsure about it.
I am fairly sure that I would like to join, but I still need some time to study and pray about it.
I am fairly sure that I want to join the Catholic Church.

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