Collegiate Connection
Are you starting at a local college or university this fall?  We want to know so our campus ministers can be in touch with you!  
Untitled Title
First Name *
Your answer
Last Name *
Your answer
Cell Phone
Your answer
Email (that you check frequently) *
Your answer
Address *
Your answer
Your answer
Home church (if you aren’t currently attending a church, feel free to write “none”)
Your answer
Choose your school
Can’t find your school on the list? 
Visit to find a list of campus ministries around the country.
Name of Person Submitting Above Information *
Your answer
Relationship to Student *
Confirmation *
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