CCM Interest Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

I am ... (check all that apply) Living in the Dorms Living in Campus Apartments A Transfer Student A Commuter

Gender REQUIRED Male Female Please fill out this field.

This is my ... REQUIRED Please fill out this field.

NMU Email REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Please enter a phone number.

Anticipated Graduation Date

Dorm/Apartment OR Local Address Please enter valid data.

Room/Apt # (If Applicable) Please enter valid data.

Major Please enter valid data.

Permanent (Home) Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parent Email Please enter valid data.

Dad's First Name Please enter valid data.

Dad's Last Name Please enter valid data.

Is your Dad an NMU alumnus? Yes No

Dad's NMU Graduation Year (If Applicable) Please enter an integer (number).

Mom's First Name Please enter valid data.

Mom's Last Name Please enter valid data.

Is your Mom an NMU alumna? Yes No

Mom's NMU Graduation Year (If Applicable) Please enter an integer (number).

Select your interests below:

Community Food For Thought (Dinner & Speaker on Wednesdays) Bible Study Fall & Spring Retreats Fun U.P. Adventures (Hiking, Camping, etc.) CCM Intermural Sports Men's / Women's Ministry I'm interested in Social Activities

Learn I'm Catholic and want to learn more I'm Catholic, not Confirmed, but interested I'm not Catholic, but interested

Serve Service / Social Justice Ministry Mission Trips Pro-Life Ministry

Prayer / Liturgy Music Ministry Ushers / Hospitality at Mass Altar Servers Lectors Extraordinary Ministers of Holy Communion Adoration of the Blessed Sacrament Rosary Liturgy of the Hours

Catholic Campus Ministry at
Northern Michigan University

Marquette, MI #CatholicCats

CCM Interest Form

CCM Registration and Interest form