OCIA Intake Form

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- Faith Formation

OCIA Intake Form
This form is for those who want to begin the process of coming into the Church. By filling out this form you are not committing to becoming Catholic, you are just giving us more information that will assist us in preparing you for the Church. It is also not a guarantee that you will become Catholic by a particular date. Everyone's journey is unique. Information is held in confidence and not shared without your permission.
This form is not accepting responses at this time.
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name (if applicable) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth (City, State, Country) REQUIRED Please fill out this field. Please enter valid data.
- Contact Information
- Email Address REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Religious History
- What, if any, is your current religious affiliation? REQUIRED Please fill out this field. Please enter valid data.
- Have you ever been baptized? REQUIRED Please fill out this field.
- If yes, please answer the following questions about your baptism.
- In what denomination were you baptized? Please enter valid data.
- If you were baptized Catholic, please select the Sacraments you already received. Eucharist (First Communion) Penance (Confession) Confirmation
- Is there anything that would be helpful for us to know about where you are in your faith or any questions you have for us?
- Current Marital Status
- If you, your fiancé, or your spouse have had a prior marriage in any type of ceremony (religious, civil, etc), whether in a church or not, please check the appropriate response.
- Marital Status REQUIRED Please fill out this field.
- If married or engaged, please answer the following questions.
- Your Spouse's or Fiancé(e)’s Name Please enter valid data.
- Your spouse's or fiancé(e)’s Current Religious Affiliation (if any): Please enter valid data.
- For your spouse or fiancé(e):
- Church of Marriage Please enter valid data.
- Married by:
- If not married in a church, list location and address of where the marriage took place.
- Children Please fill out this field.
  
  Child's Name 1
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 2
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 3
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 4
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 5
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 6
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 7
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 8
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 9
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
  
  Child's Name 10
  
  Child's Name Please enter valid data.
  
  Relationship to You (ex. Daughter, Stepson, etc.) Please enter valid data.
  
  Age of Child Please enter valid data.
Total:

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