Campus Ministry National Eucharistic Congress Trip Application

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Indianapolis, IN -- July 17-21

Email *

Record my email address with my response

First Name *

Last Name *

Class Year *

Preferred First Name (if different)

Cell Phone Number *

Date of Birth *

YYYY

Gender *

Which institution do you attend? *

How are you currently involved in your faith life on campus? (Please check all that apply.) *

I am involved in a Bible Study

I am involved in Compass

I am involved with RCIA / Short Course

I am involved with Multicultural Student Ministry

I am involved with other Campus Ministry programs or ministries

I am a Sorin Fellow / involved with the deNicola Center for Ethics & Culture

I am involved with direct service (through MercyWorks or the Center for Social Concerns)

I am involved with faith-based student clubs on campus

I am involved with other clubs on campus

I am involved with residence hall government / leadership

I am a student athlete

I attend Mass in the Basilica

I attend Mass in my residence hall chapel

None of the above

Other:

Required

The National Eucharistic Congress will allow you to encounter Jesus and the Church in a unique and profound way. How have you encountered God so far in your life? (750 CHARACTERS or less) *

How would attendance at the National Eucharistic Congress help you grow in your faith? (750 characters or less) *

Do you anticipate being able to cover the cost of your travel to and from the Congress as well as your food during the Congress? *

Campus Ministry will cover the cost of Congress registration and loding.

Yes

I am interested in assistance.

Not sure

If you have any allergies or other medical conditions that will require special attention, please briefly explain here.

Any particular comments, questions, or concerns?

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