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26-27 OCIA
Candidate Information
No nicknames or abbreviations please.
First Name
Middle Name
Last Name
Birthdate
Birthplace (City & State)
Email
Phone
Home Address:
City name:
State
-- Select State --
Oregon
Washington
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Zip code:
Parent Information
Father's Full Legal Name
Father's Religion
Mother's Full Legal Name
Mother's Religion
Sacrament Information
Have you been baptized?
If so, date of Baptism
Church of Baptism
Address (city, state, zip)
List any Sacraments received, Baptism, Communion, Confirmation, Marriage
Tell us about any faith traditions or religious formation in your upbringing.
What is your present religious affiliation?
In a sentence or two, what attracts you to the Catholic Religion?
What is your Marital status?
If engaged or married, what is your partner's name?
and religion?
If Married, date of Marriage?
and place of Marriage (city, state)?
If Married, is this your first marriage?
If not add previous information:
If Married, is this your spouse's first marriage?
If not add previous information:
Do you have a Godparent/Sponsor in mind (optional at this point)?
Submit