Campus Ministry Connection

Connecting college-age young adults with their local campus ministry

Individual Student Information

Are you in college? Know someone who is? Use this form to send information our way, so we can connect with you this semester! Please submit one form per student OR you may email with an Excel file with information for multiple students at your church.
Student Name(Required)
Student School Address
Student Email Address
Don't see your school? Click "other" and tell us where you're headed in the comment section at the end of the form. We'll be sure to find a connection for you!

Referring Person

Your Name(Required)