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Campus Ministry Student Contact Form

Contact Information:
First Name
Last Name
Email
Cell Phone
Date of Birth
RadDatePicker
Open the calendar popup.
 
Gender
Year in School:
Are you a new transfer student?

Religious Affiliation:
What is your religious preference?


















If Other, please specify

Activity Interest:
Are you interested in joining a faith-sharing group? Check all that apply.



Are you interested in joining social justice groups? Check all that apply.




Are you interested in retreats?


Are you interested in service opportunities?


Are you interested in Pasta and Prayer (weekly, hour-long program of prayer, free food and and fellowship?


Would you like to be considered for music ministry at Campus Ministry services and events?