CCM Student Information Form
Catholic Campus Ministry is here to serve you. Please help us by telling us about yourself and letting us know what you're interested in. Your faith is at the heart of who you are, let us help make your faith the heart of your college-experience.
Your Name *
Your answer
Confirm email address *
Your answer
Best Phone Number *
eg. 555-555-5555
Your answer
Year in School *
Residence Hall/Location *
eg. "Governor's" "Off-campus" "Commuter"
Your answer
Are you interested in joining a Small Group? *
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