CCM Student Information Form

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CCM Student Information Form

Catholic Campus Ministry is here to serve you. Please help us by telling us about yourself and letting us know what you're interested in. Your faith is at the heart of who you are, let us help make your faith the heart of your college-experience.

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* Indicates required question

Your Name *

Your answer

Confirm email address *

Your answer

Best Phone Number *

eg. 555-555-5555

Your answer

Student ID#

Your answer

Year in School *

Choose

Freshman

Sophmore

Junior

Senior+

Graduate Student

Residence Hall/Location *

eg. "Governor's" "Off-campus" "Commuter"

Your answer

Are you interested in joining a Small Group? *

Yes

No

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