Student Information Form First Name: Last Name: Gender: M F Date of Birth: mm/dd/yyyy Email: Cell Phone: xxx-xxx-xxxx Campus Address: Campus Box #: Year of College Graduation: Sacramental History: (Check all that apply) Baptism Eucharist Confirmation If you are NOT Confirmed, would you like more information about Confirmation at Elon (RCIA)? Yes No Are you interested in CCM service opportunities (e.g., homeless shelters, spring break service trips)? Yes No Are you interested in participating in the Wednesday Night Catholic? Yes No Are you interested in being part of a small group (Bible study, faith sharing)? Yes No Are you interested in helping cook for CCM suppers and events? Yes No Are you interested in writing for our publications/newsletters? Yes No Are you interested in assisting at Mass in any of the following: (Please mark all your choices - Training is available for altar ministries) Lector Eucharistic Minister Greeter Choir Musician Sacristan (Mass set-up) Mass Time Preference: 6pm 9pm

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A student organization at Elon University
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