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Newman Parish Student Interest Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Student Email Address (
name@uwlax.edu
or
name@westerntc.edu
)
Your answer
Phone (XXX-XXX-XXXX)
Your answer
School
Western Technical College
UW - La Crosse
Other:
Clear selection
Do you live in the dorms?
Yes
No
Clear selection
If yes, what dorm?
Your answer
Are you a varsity athlete?
Yes
No
Clear selection
What year in school are you?
*
1
2
3
4
5+
Graduate Student
Are you interested in Bible Study?
Yes
No
Clear selection
Want to learn more about retreats, student events, conferences, mission trips, local service opportunities and more? Fill out the rest of the information below for updates. If not, please scroll to the bottom of the page and hit "submit." Thank you!
Anticipated Graduation Year
Your answer
Education/Spiritual Growth Interests
Yes
Becoming Catholic
Getting Confirmed as a Catholic
Student Retreats
Bible Studies
Religious Vocation Information
Mission Trips
National Conferences
Yes
Becoming Catholic
Getting Confirmed as a Catholic
Student Retreats
Bible Studies
Religious Vocation Information
Mission Trips
National Conferences
Service/Social Justice/Other Interests
Yes
Serve Supper at Salvation Army
Serve at the Warming Center
Teach Religious Education
Work with Youth Ministry Program
Babysit for a Parish Family
Yes
Serve Supper at Salvation Army
Serve at the Warming Center
Teach Religious Education
Work with Youth Ministry Program
Babysit for a Parish Family
Worship Interests
Yes
Greeter/Usher
Reader
Eucharistic Minister
Altar Server
Musician
Decorate the Chapel
Yes
Greeter/Usher
Reader
Eucharistic Minister
Altar Server
Musician
Decorate the Chapel
Student Leadership Opportunities
Yes
Planning Social Events
Planning Service Events
Yes
Planning Social Events
Planning Service Events
Personal Email Address
Your answer
Birth Date
MM
/
DD
/
YYYY
What is your religion?
Your answer
Major
Your answer
Parent's Names
Your answer
Parent's Address (# and Street, City, State, Zip)
Your answer
Any other interests/suggestions/questions?
Your answer
Submit
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