GTCC Registration
Student Information
First Name *
Last Name *
Student Type *
Anticipated Graduation Year *
Be optimistic!
GT ID# *
Buzzcard Number (long number on BACK OF CARD) *
Gender *
Date of Birth *
In mm-dd-yyyy form please
MM
/
DD
/
YYYY
Preferred Email Address *
The email address you use most often
Phone Number *
(123) 456-7890
Parent Information
Parent 1 Title *
Parent 1 First Name *
Parent 1 Last Name *
Parents 2 Title
Parent 2 First Name
Parent 2 Last Name
Parent's Address *
City *
State *
Zip Code *
Parents' Phone Number *
Parents' Email Address *
Emergency Contact *
Please provide name, phone number, and relationship if different than parent.
Interest Areas
What different activities or groups would you like to get involved with at the CC?
Check as many as you'd like to hear more about and someone from CSO will get back to you with more information:
Engage Registration
Please use the following link to register on Engage if you haven't already. On Engage you can see and RSVP for events by the Catholic Center.

https://gatech.campuslabs.com/engage/organization/cso

Have I registered with the Catholic Student Organization on Engage at the link above? *
Required
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This form was created inside of The Catholic Center at Georgia Tech.