Join The Newman Club
THIS FORM IS TEMPORARLY UNAVAILAIBLE -- please email kiesewettj1@mymail.nku.edu with your name, and email address for more information.
If you are interested in joining or want more information about the Catholic Newman Club, please fill out the form below.
NOTE: If you are unsure about joining the club please fill out the form below and we will send you more information.
Name:
Address
City, State, Zip
Telephone:
H: C: Dorm:
E-mail address:
ISO number
Category:
Student Faculty Staff Volunteer
If student:
Freshman Sophomore Junior Senior Graduate Law school Major or Field: Do you live on campus? Yes No
Dorm Building
Wing Don't Live on Campus Callahan Hall Commenwealth Hall Kentucky Hall Norse Hall University Suites Woodcrest Apartments Wing & Room Number
Home Parish:
Special Interests:
Parents' names:
Parents' address:
Parents' telephone: