College Campus Ministry Student Connection

Heading to college this Fall for the first time or as a returning student? We can help connect you!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is the name of your home parish?

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* 4. In what city is your home parish located?

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* 5. What is your e-mail address?

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* 6. What College/University are you attending this fall?

Duke University

East Carolina University

Elon University

North Carolina Central University

North Carolina State University

University of North Carolina at Chapel Hill

University of North Carolina at Wilmington

Other (please specify)

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* 7. In the Fall 2017 semester, what will be your grade level?

First-Year

Sophomore

Junior

Senior

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* 8. What is your expected college graduation year (yyyy)?