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*

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

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.

Event Registration Software by RegFox