Collegiate Connection

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Are you attending a college or university? This information will only be shared with those required by the Book of Discipline, in relationship with Texas Conference Board of Higher Education & Ministry, & Conference Director of Young Adults. If you have a spreadsheet with the following information, it may be emailed to eerwin@txcumc.org.

First Name *

Last Name *

Birthdate *

YYYY

Gender *

Female

Male

Prefer not to say

Home Address - Address, City, State, Zip

School Address Address, City, State, Zip

Email (that you check frequently) *

Parent email address

Home church (if you aren’t currently attending a church, feel free to write “none”)

District *

Central North

Central South

East

North

South

Southwest

West

Other:

Required

Best Phone *

Choose your school

Can’t find your school on the list? Share it with us here

Name of Person Submitting Above Information *

Relationship to Student *

Confirmation *

I have been authorized by the student to submit this information.

Required

Submit

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