Area Faith Community Form

First Name

Last Name

Email Address

Cell Phone Number

With what religion/denomination/worshipping community would you like to pray (e.g. Methodist, Hindu, etc.)?

Are there any other descriptors you can give for the type of worship/prayer you desire (contemporary, traditional, etc.)?

Would you need a ride to the place of worship?

Do you grant Campus Ministry permission to share you name & phone number with other Rockhurst Univerisity students who might be able to accompany you/provide a ride to the place of prayer/worship?

Yes

No

Area Faith Community Form

RESOURCES

I WANT TO:

SCHOOLS