Name

Campus Address (Including street, apartment #, city, zip)

Parents' first and last names, street address, city, and zip.

Phone number

Semester in School

Email Address

Liturgy (hold control or open-apple to select more than one)
Reader Eucharistic Minister Usher AV/Control slide projector during liturgy Communion Bread Baker Singer Instrumentalist

If instrumentalist, what instrument?

Education (hold control or open-apple to select more than one)
Catechist Catechist Aide Childe care at Family Program (once per month) I need preparation for Confirmation as an adult I am interested in joining the Roman Catholic Church I need marriage preparation

General
Child Care (Sundays 11:30 am) Community Table (help serve meals to hungry once a month) Christian Action Day (rake, clean, outdoor work for shut-ins, late October) Newman Student Association (Activities and programs for students) Small Group Scripture and Prayer (weekly meetings)

Liturgy Preference - I usually attend:
Saturday 5 p.m. Sunday 9:30 a.m. Sunday 11:30 a.m. Sunday 5:30 p.m.

Support
Because I recognize the need to support this parish which supports me, I am willing to give $2 a week in the collection.

My anticipated date of graduation: