OCIA_Inquiry_Form | Francis and Joseph

OCIA Inquirer Information Form

Information is held in confidence and is not shared without your permission.

First, Middle, Last Name

Maiden Name (if applicable)

Birthday

Month

Day

Year

Place of Birth

Father's Full Name

Mother's Maiden Name

Contact Information

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Occupation

Alternative Contact

Religious History

What, if any, is your present religious affiliation?

Have you ever been baptized?

Yes

No

Marital Status

Check the appropriate statements below and provide any information requested beneath each statement.

I have never married.

I am engaged to be married.

I am married.

I am married, but separated from my spouse.

I am divorced and I have not remarried.

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

Family Information

List the name(s) of any children or other dependents (e.g., Daughter - Jane, Stepson - John)

Name, Relationship, Age.

General Questions

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

Please describe the types of religious education you have received, both 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 need some time to study and pray about it.

I am fairly sure that I want to join the Catholic Church.