STUDENT RELIGIOUS PREFERENCE INFORMATION
OFFICE OF THE CHAPLAIN
University Center, Second Floor
503-370-6213

The following informaiton will be helpful to us as we plan and publicize our programs for this academic year.
If you wish, we will also be happy to forward your name to the congregation of the denomination/faith tradition you list which is geographically closest to campus.

YOUR PARTICIPATION IS VOLUNTARY!!!

All information will remain confidential (except as requested below),
although your name may be added to an email group(s).

Be sure to select the "Submit" button when you are finished.
Your responses are not saved until you submit them.

Name:

Gender: Female Male

Campus Box Number:

Campus Email:

What is your year in school? (please select one from the following menu):

Religious Preference (please select one from the following menu):

If you selected "Other," please specify:

Home congregation:

City/State or Country:

  1. Please forward my name and box number to the nearest appropriate local congregation. Yes No
  2. Please let me know the location of the nearest appropriate local congregation. Yes No
  3. Please add me to the mailing list to receive information about Office of the Chaplain programs, worship services, speakers, etc. - email or print. Yes No
  4. I am interested in serving on a campus worship planning committee and/or in being a participant in campus worship (reading scripture, providing special music, ushering, etc.) Yes No
  5. I am considering graduate study in religion and/or a career in the ministry, religious edcuation or religious music. Please contact me if seminaries visit campus. Yes No
  6. I would like to receive information on programs involving and promoting interfaith dialogue. Yes No
  7. I would like to receive information about the progressive Christian fellowship/discussion group (QUAD). Yes No