Student Registration Once you have registered you will begin recieving weekly emails with information on Newman Center events, and occasional invitations to special events. We will not sell your contact information to anyone, it will only be used to keep you up-to-date on Newman issues.

Last Name:    First Name:    Gender: Male Female

Major: College of Study:

Year of Study: Freshman Sophomore Junior Senior Expected Graduation Date:

Do you live on campus? Yes No If yes, what building?

Address: Apt. #:

City: State: Zip:

Home Phone: Work Phone: Cell Phone:

Email: Birthday:

Parent's Name(s):

Parent's Address: Apt.#:

City: State: Zip:

Home Parish (name and city): Pastor's Name:

Sacraments Received: Baptism Reconciliation Eucharist Confirmation Marriage

(If married) Spouce's Name: Email:

Are you an international student? Yes No If yes, what country?

Do you have a myspace account? Yes No

Yes No

Children's Names and Birthdays:

How would you like to serve this community?

Liturgy: Eucharistic Minister Lector choir Sacristan/Hospitality Minister/Usher

Faith Development: Praise, Worship, & Fellowship Scripture Study Small Group Community Retreats Young Adult Ministry Interested in becoming Catholic (RCIA) Confirmation Class

Community/Service Events Social Events Social Justice Intramural Committee Outreach Alternative Spring Break Help Cooking

Time available to serve the community:
Monday - Time:
Tuesday - Time:
Wednesday - Time:
Thursday - Time:
Friday - Time:
Saturday - Time:
Sunday - Time:

Other Interests, Comments, or Que stions: