RELIGIOUS PREFERENCE FORM

Your responses will help us to statistically identify the student body.  It will afford us an opportunity to contact you about events, holiday observances, opportunities on and off campus, and community interests. 
 

Thank you for your time.
Jan Fuller, Chaplain
 

Name:     

Email Address:    

My primary current religions tradition (pick one):  

      If you selected Other from the previous, list, please specify:  

My current relationship to my primary tradition: 

    If you selected Other from the previous, list, please specify:  

My secondary current religious tradition (pick one - optional): 

My current relationship to my secondary tradition: 

I am interested in studying, practicing, or familiarizing myself with :  
(You may make multiple selections by holding down the control key as you scroll through the list and click on multiple items.)

My interest level in the above: 

I see myself being involved (Check all that apply):

    As a leader        An Active Participant       An Occasional Participant       A Regular Spectator      An Occasional Spectator

What might help you express yourself spiritually: (Check all that apply)

          Education                    Group Discussions       Literature                  Connection with others
          Local Congregation     Private Discussion        Worship Service      Other

      If you selected Other from the previous, list, please specify:  

What would you like the chaplain to know about you spiritually?