We are excited to have you as part of our Catholic Newman Center community! This form will not only help us to connect you with activities here that match your specific needs and gifts, but also to keep in touch with you, especially during winter and summer breaks. We can make sure you are on the correct email contact lists for the activities you select.


Female Male

First Name:

Last Name:

Do you: Live on campus Live off-campus Live "at home"

What is your temporary address (for those that live on campus) [Street, City, State, Zip]?

What is your permanent address (for those that live off-campus or at home) [Street, City, State, Zip]?

What is your email address?
official school email account
other "personal" email account(s)

Home Phone Number:

Cell Phone Number:

What is your status in school?

What is your Major or program?


Music Ministry: Vocal/Choral
Music Ministry: Instrument (specify: )
Extraordinary Minister of the Eucharist
Hospitality (Greeting, Snacks, Bulletins, Sign-ups)
Sacristan (Coordinating, Set-up, Take-Down, Minister training)

Faith Sharing Groups
Retreats (What kind of retreats do you have?)
Bible Study
Catechesis (Learning more about faith)
Interfaith activities

Service/Social Justice
Monthly Service Projects
Weeklong domestic service trip
International service trip
Social Justice Month (What's this?)
Catholic Social Teaching
Newman Sustainable garden
Post-Graduate Volunteer opportunities

House Manager
Serve on Officer Team (What's this?)
Retreat Planning
Prayer Group/FaithSharing Group Leader
Bible Study Group Leader
Relay for Life Team Captain (What's this?)
Spring Break Service Trip Leader
Construction and Design (for Neighborhood Haunted House)
Intramural Coordinator [through UM-St. Louis]
Praise and Worship Leader
I want to be in charge of this instead...

Informal/Spontaneous: Movie Nights, Bowling, Ice Skating, Tailgating, Ping Pong, Ice Cream Runs, Camping
Formal/Planned: Mardi Gras Party, Masquerade Ball, Homecoming Dance, Haunted Garage, Thanksgiving Potluck, Stress Relief Night

Other Info
Special Talents to Share: (explain below)

Other Groups you are involved with:



Home Parish (if applicable):

City/State of home parish:

Father's first and last name:

Father's address: [Street, City, State, Zip]

Father's Phone Number:
Cell Phone

Father's e-mail address
Yes, my Dad is an UMSL Alum!

Mother's first and last name:

Mother's address (if different from Father's): [Street, City, State, Zip]

Mother's phone number:
Cell Phone

Mother's e-mail address
Yes, my Mom is an UMSL Alum!

We'll be in touch soon!


Catholic Newman Center Newman Center Catholic CNC UMSL-Catholic Newman Center