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Newman Center Involvement Form
Register for 2016-17
WELCOME
First Name
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Last Name
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Local/School Address
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City
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State
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Zip
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Phone
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Email Address
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Date of Birth (Month/Day/Year)
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Status
Major
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Greek House (If Applicable)
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High School Attended
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University Position (If Faculty/Staff)
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Home Parish
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Home Diocese
Interests: Faith Formation
Interests: Liturgical Ministry
Interests: Retreats
Interests: Service
Interests: Small Christian Communities (SCC)
If you would like to be confirmed in the next year, please check
If you would like more information about a Vocation to the Priesthood or Religious Life, please check
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