UKirk RVA Referral Form
UKirk RVA is a Campus Ministry affiliated with the Presbyterian Church USA.  Whether you are a college student in the Richmond, VA area or you know a student you think would enjoy getting to know more about our Campus Ministry, this is the place to let us know.  If you have any questions, feel free to contact the UKirk Campus Minister, Kelley Connelly at
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You are: *
Your name: *
Student's name (if different from above):
Your email address: *
Your phone number: *
Student's mailing address (not your school address)
Student's email address (if different from above):
Student's phone number (if different from above):
For those referring students, what is your connection to the student?
Though we are primarily made up of VCU students, we welcome students from the University of Richmond, VUU, and other surrounding schools.  What school do you currently attend?
For students only, what is your graduation year?
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