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
UKirk.rva@gmail.com
* Required
You are:
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A current student wanting to connect with UKirk RVA
A person who cares about a student and wants them to connect with UKirk RVA
Your name:
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Your answer
Your email address:
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Your answer
Your phone number:
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Your answer
Student's name (if different from above):
Your answer
Student's email address (if different from above):
Your answer
Student's phone number (if different from above):
Your answer
For those referring students, what is your connection to the student?
Your answer
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?
Your answer
For students only, what is your graduation year?
2020
2021
2022
2023
2024
2025
Other:
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