College Student Information

The Diocese seeks to connect college students with Episcopal campus ministries. Parents, clergy or college students are invited to complete this form. The diocesan offices use this information to try to connect college students with the appropriate college minister or local church.

(* Denotes Required Fields)

General Information
Student's Name: *
College/University and Location: *
Student's Home Parish & Location:
Month/Year Student Starts School:
Student's E-Mail Address:
Student's Phone Number:
Your Name: *
Your Relationship to Student: *	Self Parent Clergy Youth Leader
Your E-Mail Address: *
If you are a college student, would you like to receive occasional campus ministry e-mail updates from the Diocese?:	Yes No