Off Campus - Student

Student Form

Renaissance Church
Off Campus is a ministry that connects college students here in Pittsburgh to individuals/families at Renaissance Church to serve as a support through things like shared meals, opening their home as a retreat from campus, a place to laundry, and much more!
Name:*

First NameLast Name
Birthday:*

MonthDayYear
Email:*
example@example.com
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where is your hometown?*
Do you attend Renaissance Church?*

YesNo
If yes, please select which best describes you:*

Member of RenaissanceMember in processRegular attenderOccasional attender
If no, are you part of another local church?*

YesNo
If yes, which one?*
What school do you attend?*
(If you aren't a student but are college age, put "N/A")
Do you have any roommates?*

YesNo
What year are you?*
What are you studying? *
(If you aren't a student put "N/A")
Please list a few hobbies/interests you have:*
Please list some of your favorite foods:*
(Ex. meatloaf, pasta, tacos, etc.)
Please list any foods you hate:*
(Ex. mushrooms, spinach, tuna, etc.)
Please list some of your favorite snacks:*
(Ex. doritos, popcorn, veggies, etc.)
Do you have any allergies?*

YesNo
If yes, please list them:*
Do you have access to a car?*

YesNo
What are some ways your Off Campus Support can serve you? *
(Ex. come to my special events, be a retreat from campus, offer a place to do laundry, spiritual support, feed me, help me navigate Pittsburgh, etc.)
Student Expectations
- Regularly communicate with your Off Campus support to coordinate schedules
- Hangout with your Off Campus support - at least 1x/month
- Participate for the Fall and Spring semester
I have read and agree to the Student Expectations:*

Yes
After submission, you will receive a follow up email in a couple of days detailing next steps.
Should be Empty:

Student Form