Student Information Form for Churches and Families
Welcome to the Student Information Form for Churches and Families!

If you are trying to pass contact information about a student who is in college (or will be soon), you are in the right place! We have tried to make this form as friendly and quick as possible while still gathering important information to help our college ministries effectively reach your students. Thank you for your time and assistance.

Your Information
The first two questions about about you, the person entering the information.
Your Name *
(the person filling out this form)
Your answer
Your Relationship to the Student *
(or your title/position in the church)
Your answer
Student Information
The rest of the form is about the student who is or will be attending college in the upcoming semester.
Student's Full Name *
first, middle, and last
Your answer
Student's Preferred Name *
What do most people call them?
Your answer
Residence, City and State *
Example: Spring, TX
Your answer
Name of the Church the student most frequently attends
Your answer
Student Email
Please check carefully for accuracy.
Your answer
Student Phone
Preferably Cell
Your answer
University attending in the upcoming semester *
Student's Home Church *
(or their primary place of worship)
Your answer
How active is/was this student in the church? *
Consider only the last 12 months
Academic Category *
Life Stage *
Marital/Family Status *
Helping us understand the student's background can be a big help
Use this box for clarification, to let us know their interests, major, or anything to help us more effectively reach the student
Your answer
Submit
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