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HEMA Collegiate Ministry and Staff Profile
 
  Information About The Collegiate Ministry:
 
Name of Campus Ministry or Program:
Address: Ministry's mailing Address (if different than shown left):
City: City:
State: Zip Code:
State: Zip Code:
Ministry's phone number: Ministry's fax number:
( ) - ( ) -
Ministry's E-mail:
Ministry's web address:     (NOTE: do not enter the 'http://' prefix !!!)
 
Check all descriptions that best represent your ministry:
 
College Chaplaincy
Campus Ministry
Parish or Local Church Ministry
Supported By or Representing One Denomination
Supported By or Representing Two or More Denominations
Non-Denominational
Serves One School or Campus
Serves Two or More Schools or Campuses
Other: 
 
Denominational / Faith Groups this ministry represents:   (check all that apply)
 
American Baptist Churches in the U.S.A.
Christian Church (Disciples of Christ)
Episcopal Church
Evangelical Lutheran Church in America
Presbyterian Church (U.S.A.)
United Church of Christ
United Methodist Church
Other: 
 
Which colleges, universities, and campuses are served by or affiliated with your ministry?
 
College 1:
College 2:
College 3: