GTCC Registration

Student Information

First Name *

Last Name *

Student Type *

Undergraduate

Graduate Student

Young Adult

Other

Anticipated Graduation Year *

Be optimistic!

GT ID# *

Buzzcard Number (long number on BACK OF CARD) *

Gender *

Female

Male

Date of Birth *

In mm-dd-yyyy form please

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:

Adoration

Community Life Events (Dinners, Movie Nights, Off-Campus Trips)

Faith Formation Classes

FOCUS or Bible Studies

Knights of Columbus

Outreach and Service Events

Serving at Mass (Altar Serving, Eucharistic Ministry, Lectoring, Ushering)

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? *

Yes!

No, I am not a Georgia Tech Student.

Required

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This form was created inside of The Catholic Center at Georgia Tech.