OCI-A Information Sheet Form

Company

This field is for validation purposes and should be left unchanged.

OCIA Information Sheet

Name*

Prefix First Middle Last Suffix

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Email is one our primary form of communication, please provide a valid email address for your convenience.

Date of Birth*

City, Sate, Country of Birth*

Mother's Maiden Name

Mother's Full Name

Father's Full Name

Baptism Information

Have you ever been baptized as a Christian?*

Yes
No

If Yes, WE WILL NEED PROOF of your Christain Baptism OR a copy of your Catholic Baptism Certificate.

Date of Baptism

(approximate if unknown)

Age at Baptism

Please enter a number from 1 to 100.

(approximate)

Religion:

Church of Baptism

Name // City, State, Country

Marital Information

Marital Status

Please Check One Box and fill out all information below.

Single
Engaged
Married
Seperated
Divorced, not remarried
Divorced, remarried
Widowed

Engaged Couples, Please include anticipated marriage date.

Were you/ will you be married in the Catholic Church?

Yes
No

Full name of current spouse/betrothed:

Is he/she baptized Christian?

Yes
No

If Yes, is he/she Catholic?

Yes
No

Has he/she been married before?

Yes
No

Previous Marriage Inforamtion

If this is not your first marriage OR you are divorced- please provide the following information about your previous marriage.

I have been married before.
I have NOT been married before.
I have had a previous marriage annulled.

Name of Spouse

First Last

Date of Marriage

Spouse Deceased?

Yes
No

First Marriage for Spouse?

Yes
No

Marriage annulled?

Yes
No

Name of Spouse

First Last

Date of Marriage

Spouse Deceased?

Yes
No

First Marriage for Spouse?

Yes
No

Marriage annulled?

Yes
No

OCI-A Questions

What is your purpose for attending OCI-A?

I desire to become Catholic.
I think I might want to become Catholic.
I am “just looking” – uncertain at the present time.
I do not wish to become Catholic; I just want to know more about the Catholic faith.

What prompted you to inquire about the Catholic faith?

Which member (if any) of THIS parish do you already know? Any Other Catholics?

What do you hope to learn?

What questions or concerns would you like to address?

Additional information // For Our records

Can you provide information about a previous annulment?

You will need to provide that information to the records department of the parish. Please Enter N/A if this section does not apply. Please enter ANNULMENT and attach any additional information via PDF as an email to the office. separate form available if needed