Registration Form for Students

Hello, friend! Please register with us by completing this form.

Personal Information

Name

Birthdate

Gender

Please select one option.

Female Male

I am a(n)...

Please select one option.

Student (Undergraduate) Student (Graduate) Student (Postdoctoral)

Academic Information

Anticipated Graduation Year

Emory University

Please select all that apply.

Attending

Oxford College

Please select all that apply.

Attending

Agnes Scott College

Please select all that apply.

Attending

Graduate School

Please select all that apply.

Allied Health Business (Goizueta) Laney Graduate School Law Medicine Nursing (Nell Hodgson Woodruff) Public Health (Rollins) Theology (Candler)

Contact Information

This address will receive a confirmation email

You will receive our weekly email bulletin with University Catholic Center announcements and event information. If you do not wish to receive the bulletin, you can unsubscribe at any time.

Phone

You will be sent a link to join the student GroupMe to your phone number, where current students can get in touch with one another, plan get-togethers, request prayers from peers, and share event info. You can unsubscribe at any time.

Address

Ministry Involvement

We are excited to help connect you with programs, ministries, and opportunities to serve at the University Catholic Center. Please indicate below which of the following you would like more information about so that we can help you get connected!

Programming of Interest

Please select all that apply.

Adoration Bible Study Discussion Groups Liturgical Ministries RCIA Participant RCIA Sponsor Retreats Service Projects Social Events Weekend Social Outings

Want to serve during Mass as a liturgical minister?

Please select all that apply.

Altar Server Eucharistic Minister Lector Sacristan Music (Choir) Music (Instrumentalist) Not Interested

Family Information

We collect this information for emergency contact and yearly mailing purposes.

Parent 1 Full Name

Parent 1 Email

Parent 1 Phone

Parent 1 Home Address

Parent 2 Full Name

Parent 2 Email

Parent 2 Phone

Parent 2 Home Address

Description

Hello, friend! Please register with us by completing this form.

Registration Form for Students

Description

Please Fix the Following