General InformationPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *AddressApartment, suite, etcCityState/ProvinceEmailCell Phone *Occupation/Place of EmploymentDate of BirthMonthDayYearI. Faith HistoryBaptized?YesNoAre you baptized?What Church were you baptized in?include name of church, city, state, and date of baptismParent's FaithWhat is the faith (if any) that you parents practiced?Baptized Catholic?YesNoWere you baptized a Catholic?Please indicate which sacraments you have received as a Catholic.First ConfessionYesNoChurch of First ConfessionPlease provide the name, address, city, and state of the church where you celebrated your First ConfessionFirst CommunionYesNoHave you made your First CommunionChurch of First CommunionPlease provide the name, address, city, and state of the church where you received your First CommunionConfirmationYesNoHave you been Confirmed?Church of ConfirmationPlease provide the name, address, city, and state of the church where you made your Confirmation.II. Your Interest in the Catholic FaithYour interest in the Roman Catholic faith at this timeI have a positive association with Jesus Christ, the Catholic Church, or a Christian believer.I desire to know more about Jesus, His life and His teachings contained in the Catholic Church.I am open to joining the Catholic Church but still need time to study and pray about itI am actively seeking to know if I can personally commit to Christ in His Church.I feel God is calling me to make a conscious decision to follow Jesus in the Roman Catholic Church as an active disciple and I surrender my life to Christ to fulfill His personal mission given to me at my Baptism.Which of these statements most closely corresponds to your interest in the Roman Catholic faith at this timeDo you have someone in mind to be your Sponsor?YesNo* A sponsor is a Catholic who has received all of the Sacraments of Initiation and is currently practicing their faith. By this we mean this person attends Mass on all Sundays and Holy Days of Obligation, goes to Confession regularly and tries to lead a moral life. Your sponsor should be someone who can and will support you in this process and be able to accompany you to the ceremonies involved with the OCIA. Your sponsor is welcome to attend any or all of the OCIA class sessions. Your sponsor cannot be your parent.PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameMiddle NameLast NameSponsor relationship to youCannot be a parent.Sponsor AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweIII. Marital Status and HistoryPlease check all that applySingleMarried in the ChurchWidow/WidowerDivorcedSeparatedRemarried outside the ChurchCohabitating; non-marriageReceived an AnnulmentDo you have children?YesNoChildrenChild NameAgeChild Baptized?YesNoIV. Personal AffiliationDo you have relatives or friends who are Catholic? What contact have you had with the Catholic Church to date and what are your general impressions of the Catholic Church?Currently affiliated with any other Church or Congregation?YesNoCurrent Church or CongregationPlease provide the name, denomination and location of the other church or congregationPreviously participated in another Christian tradition in the past?YesNoHave you ever participated in another Christian tradition in the past?Other Christian tradition?Please describe any other Christian traditions you have previously participated in.V. ReasonsReason for inquiringWho or what has brought you here at this time and to this parish to inquire about the Catholic Faith?VI. QuestionsAny other questions?Are there any questions or concerns you have had about God or the Catholic Church for us at this time?TextSend Message