OCIA Form FacebookThis field is for validation purposes and should be left unchanged.Adult Inquirer Information FormDate(Required) MM slash DD slash YYYY Name(Required) First Middle Last Maiden Name (if applicable)Birth Date(Required) MM slash DD slash YYYY AgePlace of Birthinclude locality (town, city, county, etc.), region (state, province, territory, etc.), and countryName of FatherName of MotherContact InformationMailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone (daytime)Phone (evening/weekend)Cell/Mobile PhoneOccupationEmail (home) Email (other) Religious HistoryWhat, if any, is your present religious affiliation?Have you ever been baptized? Yes No I am not sure In what denomination were you baptised?Date or approximate age when you were baptized:Baptismal Name (if different from current name):Place of Baptism (name of church/denomination):Address, if known:Location, if known:Include locality (town, city, county, etc.), region (state, province, territory, etc.), and countryIf you were baptized as a Catholic, check those sacraments you have already received: Penance (Confession) Eucharist (First Communion) Confirmation Select AllCurrent Marital StatusCurrent Marital Status I have never been 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 remarried since my spouse's death. 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 you fiancé(e): This is his/her first marriage. My fiancé(e) has been married before. Your spouse's name:Your spouse's current religious affiliation (if any):For you: This is my first marriage. I have been married before. For you spouse: This is my spouse's first marriage. My spouse has been married before. Date of marriage: MM slash DD slash YYYY Place of marriage:Include locality (town, city, county, etc.), region (state, province, territory, etc.), and countryOfficiating Authority of marriage:Civil government, non-Christian minister, Christian minister, Catholic clericFamily InformationList the name(s) of any children or other dependents (e.g., daughter- Jane; stepson - John).Relationship:Name:Additional Family Member? Yes No Relationship:Name:Additional Family Member? Yes No Relationship:Name:Additional Family Member? Yes No Relationship:Name:Additional Family Member? Yes No Relationship:Name:Additional Family Member? Yes No Relationship6:Name6:Please use this space for any additional information.
