Completion of this card is voluntary. This information will be shared with the religious groups you identify with on campus.

Question 1

Question 2

Please select one:

Question 3

Permanent Home Address:

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Question 10

Question 11

Check:

Question 12

Question 13

Religious Interest (Check all that apply)

Question 14