Given/First Name

Surname/Family Name

Birth Date

Major

Classification

Anticipated Graduation Date

Email

Commuter Yes No

Dorm/Apartment Complex

Street/PO Box

City

State

Zip

Cell Phone Number

Parent's Names

Street

City

State

Country

Zip/Postal Code

Phone

Home Parish / Diocese

Sacraments Received

Adoration/Prayer Opportunities Baptism
Bible Study Confirmation
Eucharist Matrimony
Mission Trips R.C.I.A.
Reconciliation Semester Retreats
Service Projects Small Groups
Social/Cultural Events Transportation to events

Eucharistic Minister Lector
Music Pastoral Council
Pastoral Council Committees Provide Rides
Sacristan Usher