Local Church College Student's Info-TAHLEQUAH
Please send your college student's information to the Wesley Foundation/Campus Ministry so that the Campus Minister/Director may contact them. Fill out the form below and click on the bottom button when you are finished.
To: TAHLEQUAH - Northeastern State University
1.
Permanent Residence
*
Student's Name
Home Address
Home City
Home State
Zipcode
Home Phone
Personal Email
2.
Please supply
*
Church Name
3.
Please Select One:
*
Select at least 1 response and no more than 1 response.
Student is currently enrolled at this university/college
Prospective Student for the future
4.
School Information University/College
*
5.
School Information
Student's School Address
Dorm or Apt #
Room Number
City
State
Zipcode
Student's Phone #
Student's School Email
6.
Required fields
*
Person Submitting the information
Your phone or email address
Please click on the button below to send the information to the Campus Minister/Director
