Join The Newman Club

If you are interested in joining or want more information about the Catholic Newman Club, please fill out the form below.

NOTE: If you are unsure about joining the club please fill out the form below and we will send you more information. 

 

Name:

Address

City, State, Zip

Telephone:

H: C: Dorm:

E-mail address:

ISO number

Category:

Student      Faculty      Staff      Volunteer

If student:

Freshman       Sophomore       Junior       Senior
Graduate       Law school
Major or Field:
Do you live on campus? Yes       No

Dorm Building

Wing           Wing & Room Number  

Home Parish:

Special Interests:

Parents' names:

Parents' address:

City, State, Zip

Parents' telephone: