College student information form

Here at the Greater New Liberty Church it is apart of our mission to connect with Believers wherever they are. In the spirit of this mission, through our COVERED ministry, we want to help our college students stay committed and connected to Christ as they embark on the transition that is adulthood. If you, or someone you know, is in college and a member of GNL, please fill out the information form so that we can connect with them throughout the year.

Student's Name

First Name

Last Name

Student's Phone

(###)

###

####

Student's Mailing (campus) Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Email

Student's School

Student's Major

Student's Expected Graduation Date

YYYY

Preferred Method of Contact

Text

Call