LCMS U Chapter Enrollment Form

Section 1 - Public/Shared Information

Note: This information will appear on the LCMS Campus Ministry map and in the print directory.

The name(s) of the institution(s) you intentionally serve

ex: Montana State University, Glendale Community College, etc.

Campus Ministry name

Campus Ministry address

Street Address

Street Address Line 2

CityState

Zip Code

Campus Ministry phone number

NOTE: This can be a personal or church office number. The information will be made public.Format: 000-000-0000.

Campus Ministry Email

NOTE: This can be a personal or church office address. The information will be made public.

Campus Ministry website

ex: www.mycampusministrysite.com

Campus Ministry Facebook page

ex: https://www.facebook.com/lcmsu

Campus Ministry Instagram page

ex: https://www.instagram.com/thelcms/

Section 2 - Ministry Information

Note: This information is for internal use only. Responses will not be made public.

Official sponsor of your campus ministry

Explain Other

ex: Multiple Congregations, Mission Societies, etc.

Does this campus ministry have an International Student Ministry component?

LCMS District

Section 3 - Campus Ministry worker (non-student) contact information

Note: This person may be a church professional or lay volunteer. Please include title if applicable. The name may be used publicly, but the phone number and email address will not be made public.

Campus Ministry Worker Title

Campus Ministry Worker Name

Campus Ministry Worker Phone Number

Format: 000-000-0000.

Campus Ministry Worker E-mail

example@example.com

Section 4 - Campus Ministry student contact

Note: This information is for internal use only. Responses will not be made public.

Student Name:

Student Phone Number

Format: 000-000-0000.

Student Email

example@example.com

Please verify that you are human

LCMS U Enrollment Form

Section 1 - Public/Shared Information

Section 2 - Ministry Information

Section 3 - Campus Ministry worker (non-student) contact information

Section 4 - Campus Ministry student contact