Campus Ministry Student Referral Form
College is tough, we all need Jesus! The Indiana District can help! We are gathering information in order to support all of our students during this transitional time. This information will be shared with the LCMS ministries near the school you or your student will be attending. Our goal is to connect all of our students with the Word of Christ and other Lutherans attending their school. Thanks for taking the time to help.
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Student's Name *
First, MI, Last
Student's Phone Number
Student's Email
Anticipated College or University Attending
Include city and state.
Student's Home Mailing Address
Student's Home Congregation
Include city and state.
Your Relationship to the Student
Family/Friend/Church Worker
Your Name *
First and last name.
Your Email *
Comments
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This form was created inside of Indiana District of the LCMS.

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