The Bridge: A United Methodist Campus Ministry @ UA Fort Smith
Monday, September 06, 2010
Connecting UA Fort Smith to Christ

Tell Us About A UA Fort Smith Student

 
Are you a future or current student at UA Fort Smith, or do you know a future or current student at UA Fort Smith.  If so we would love to find out about them so we may contact them and get them connected with our ministry.  Please use the form below to tell us about current or future UA Fort Smith Students. 
 
Student Information
 
Students First Name
 
Students Last Name
 
 
Current Address
 
City  State   Zip
 
UAFS Address (if different)
 
City   State  Zip
 
Home Phone
 
Cell Phone
 
E-mail Address
 
Home Town   High School Attended
 
Major    Church
 
When will the student be starting at UA Fort Smith   
 
Submitter Information
 
Name of person submitting this information
 
What is your relation to the student
 
Self (Student)
Parent/Grandparent
Youth Pastor
Pastor
Friend
Other
 
Your Phone Number
 
Your E-mail Address