2019-2020 Student Parishioner Registration Form
Each year, we ask students to register (and re-register!) as members of the University Parish Newman Center to help us serve you better!
Thank you for your presence and participation in the life of your parish community!
If you have questions about this form, please contact Jordan Cinderich at
5th Year Senior
Prefer not to say
Do you live:
in a residence hall?
in an off-campus apartment?
and commute from home?
WHERE ARE YOU FROM?
Tell us a little about your hometown and your family.
Permanent Street Address
Check the following option that best describes your sacramental status:
I am a fully-initiated member of the Roman Catholic Church. I have received the Sacraments of Baptism, Confirmation and Eucharist in the Roman Catholic Church.
I have been baptized Roman Catholic, but I am in need of the Sacrament of Confirmation
I have been baptized Roman Catholic, but I am in need of Eucharist and Confirmation.
I am not Roman Catholic, but I am interested in becoming Catholic through the Rite of Christian Initiation of Adults (RCIA).
I am not Roman Catholic.
What are your interests? (check all that apply)
Ministry at Mass
Prayer & Faith Sharing Groups
Youth Ministry Team
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