OCIA/RCIA (Adult Inquirer Info Form)

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

Email *

Name (First, Middle, and Last) *

Maiden Name (if applicable):

Date of Birth *

YYYY

Place of Birth (Include town/city, state, province, country, etc.) *

Age *

Full Name of Father (First, Middle, Last) *

Full Name of Mother (with Maiden Name) *

I. CONTACT INFORMATION

Full Mailing Address *

Occupation *

Cell Phone *

Work Phone

Email (Home) *

Email (Work/Other)

II. RELIGIOUS HISTORY

1. What, if any, is your present religious affiliation? *

2. Have you ever been baptized? *

I am not sure

Yes

Required

(If you answered "Yes", answer the following - if "No" continue to Section III on Marital Status)

In what denomination were you baptized?

Date or approximate age when you were baptized

YYYY

Baptismal Name (if different from current name)

Place of Baptism (name of church/denomination)

Address (if known)

Location (if known - include town/city, state, province, country)

3. If you were baptized as a Catholic, check those sacraments you have already received

Penance (Confession)

Eucharist (First Communion)

Confirmation

III. CURRENT MARITAL STATUS

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

1. I have never been married

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 I have not remarried

6. I am a widow/widower and have not remarried since my spouse

Required

(Fill out the following if engaged)

Your Fiancé(e)'s Name

Your Fiancé(e)'s Current Religious Affiliation (if any)

For you:

This is my first marriage

I have been married before

For your fiancé(e):

This is his/her first marriage

My fiancé has been married before

(Fill out the following if married)

Your Spouse's Full Name

Your Spouse's Current Religious Affiliation (if any)

For you:

This is my first marriage

I have been married before

For your spouse:

This is my spouse's first marriage

My spouse has been married before

Date of Marriage

YYYY

Place of Marriage (Include town/city, state, province, country)

Officiating Authority of Marriage (civil government, non-Christian minister, Christian minister, Catholic cleric)

IV. FAMILY INFORMATION

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

V. 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 or 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 feelings and thoughts about the possibility of joining the Catholic Church? *

I need much more info 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

Please review the full form to make sure you did not miss any crucial information.

We are so excited to walk with you as you pursue growing in your faith and fully becoming a part of the Church!

If you have any additional questions, please reach out to Mary Castner at mcastner@stphx.org

Send me a copy of my responses.

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