Grambling State University - SWAT Campus Ministry

S.W.A.T. Survey

Name: Sex:

Home Address:
City: State: Zip:
Phone:
Home Email:
Campus Email:

Name you prefer to be called:

Year in College:
Residency:

For resident students- Campus Address:
Campus Phone:

If your summer address will be different from your home address:

Summer Address:
City: State: Zip:
Phone:

- Interested in being part of Grambling Campus Ministry and would appreciate being notified of events, schedules and ways to participate.

My major is:
I am a musician: My voice range is:
My instrument is:
My Denomination is:
My church home is:
City: Pastor:

- I am interested in Leadership
I am interested in Volunteering: