Campus Ministry Student Referral Form
College is tough, we all need Jesus! The Indiana District can help! We are gathering information in order to support all of our students during this transitional time. This information will be shared with the LCMS ministries near the school you or your student will be attending. Our goal is to connect all of our students with the Word of Christ and other Lutherans attending their school. Thanks for taking the time to help.
Student's Name *
First, MI, Last
Your answer
Student's Phone Number
Your answer
Student's Email
Your answer
Anticipated College or University Attending
Include city and state.
Your answer
Student's Home Mailing Address
Your answer
Student's Home Congregation
Include city and state.
Your answer
Your Relationship to the Student
Family/Friend/Church Worker
Your answer
Your Name *
First and last name.
Your answer
Your Email *
Your answer
Comments
Your answer
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