Student Interest Form

Please fill out the form below to help us make sure we have the most up-to-date contact information. We use this information to serve you better and respond to needs of the community. Know that your information will be kept confidential and never be shared outside the campus ministry.

Name *

First Name

Last Name

Phone *

Email *

Verify Email *

Birthdate! *

We want to celebrate you!

Where are you living while you're enrolled in school?

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Which of the following might you be interested in?

Select all that apply!

Dinner

Worship

Bible Study

Queer Catechism

Retreats

Attending CU?

Undergrad at CU

Grad Student at CU

Undergrad at another college/university

Grad Student at another college/university

What College/University do you attend?

Do you attend church or belong to a congregation in your hometown? If so, where? (Please include the city and state)

church name, city, state (if no, you can just leave blank)

What can't you eat?

(any food allergies we should know about?)

What else should we know about you?

(your favorite dinosaur, for example...)