Student Information: Please fill in all fields that apply. You can tab through the fields.

Name:

Mailing Address:

Phone (ex. 123-456-7890):

Email:

Gender:    Male    Female

What Sacraments have you received (check all that apply):

Baptism   Eucharist   Confirmation

Please check the ministries you are interested in:

Liturgy:

Eucharistic Minister    Altar Assistant Lector/Reader  Greeter before/after mass

Usher    Liturgy Committee Liturgical Movement/Dance   Choir Ministry

Music Ministry  Instrument

 Spiritual Growth:

Scripture Study Group    Faith Sharing Group Faith Sharing Group Leader  Praying Rosary

Retreats: Evening/Weekend    Peer Ministry Teaching Religious Ed: Elementary; 7-8; high school

Rite of Christian Initiation for Adults (RCIA) Preparation for becoming catholic

NCSC:  National Catholic Student Coalition 

Newman Club Student Activities: Planning student activities

Newman House:   Residence for 4 - 5 students interested in intentional community

Life Style Choices:

Religious Life    Priesthood  Marriage Laity

Service Opportunities

New Student Outreach    Plan Interfaith Services Dismas House: prepare meal, talk with residents

Social Events Committee    Community service Peace and Social Justice Issues

St. Martin's monthly brunch (7AM) Fundraising projects  Artistic Talent

Alt. Spring/Summer Service trips   Sign Language interpretation  Photography

Computer Expertise   Videography  Web Site Design/Maintenance

I am an out of state student and would like to be paired with a Newman family

Degrees: Undergraduate  Graduate   Doctorate   CNM Old TVI

1st year 2nd year  3rd year 4th year 5th year on-going

Major / Minor 

Expected Graduation Date  (ex. 11/15/2002)

Sorority - Fraternity Affiliation

I am interested in being a contact person for my hall or house (check if  interested)

High School 

HS Graduation Date  (ex. 11/15/2002)

Home Parish 

Parents Names and Address:

Please share any other comments