Campus Link

LCMS U Campus Link
Disclaimer:

By completing this form, you are requesting LCMS U to share this personal information with LCMS campus ministry workers, Pastors, or other Called Workers at the college/university of your choice. This information may be processed through the RSO Lutheran Campus Mission Association. It will not be shared with any other person or entity and will never be used publicly.

Please do not give contact information other than your own without permission.
Name of person filling out form*
Person filling out this form*

StudentParentHome Church PastorHome Church Youth WorkerOther
Email of person filling out form*
Student Information
Student Name*

First NameLast Name
Gender

MaleFemale
Student Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Cell Phone Number*
Permission to text this number

Yes, you may text this numberNo, you may not text this number
Student Email*
example@example.com
College or University Attending*
Campus City, State*
Anticipated Graduation Date
(ex: spring 2017)
Student's Home Congregation Information
Congregation Name
Congregation City, State
Pastor/Youth Worker Name
Pastor/Youth Worker Classification
Pastor/Youth Worker E-mail
example@example.com
Pastor/Youth Worker Phone Number
Questions
Questions and/or Comments
Should be Empty:

LCMS U Campus Link