United Protestant Campus Ministries in Cleveland

Student Registration Form - 2007 - United Protestant Campus Ministries (UPCaM)

 You will receive the weekly “UPCaM e-news Update” and summer mailings about Welcome Days Activities

You may unsubscribe at any time.

Please return this completed form in one of three ways:

1.    Copy and paste it into an e-mail and send it to KimAHauenstein@aol.com

2.    Print a copy and fax it to (216) 791-2228 (attention UPCaM)

3.    Print a copy and send it to:  Rev. Kim Hauenstein, UPCaM, 11205 Euclid Avenue, Cleveland, OH 44106.

Name:

 Current e-mail:

 Campus e-mail (if activated):

 Anticipated Major Field of study:

Check those UPCaM activities in which you are interested:  

_____  The UPCaM Thursday Night Coffee House: informal gathering to include wi-fi access         

 ____  Student Social Gatherings (Movie Nights, Retreats, etc.)

                Our first student retreat is scheduled for September 21-22)

 ____  Community Service/Learning Opportunities

              _____  Tutoring Program for High School Students on Saturday mornings

              _____  Habitat for Humanity Campus Chapter

              _____  Homeless Stand Down in February (vital services for the homeless)

              _____  Support for the "Save Darfur" international movement and action group

              _____  "Bread for the World" offering of letters and political action group

____  Worship Opportunities

         ____  Help in finding an area church to attend

                   Preferred denomination, if one:

_____    International Student Group - informal discussions with Kim, the campus minister

 ____     Science and Religion Dialogue Group

 ____     UPCaM Poetry and Faith Group

_____    UPCaM Graduate Student TGIF Group (meets with Kim on Fridays to "debrief")

_____     I would like to be part of the student group to plan UPCaM activities (including programs

                 for the new coffee house).  The planning group will meet once per month.  

____      I would like to know more about Spiritual Direction opportunities with Kim

 ____     I would like to meet informally with Kim to learn more about UPCaM

Your Home Address (for summer mailings):

Home City, State, Zip Code:

Home Telephone (if you would like a call from Kim):

List the following if you would like to be included in the 2007-2008 Directory of UPCaM students:

Campus Residence Hall:

Campus Telephone Number (if known):

Personal Interests/Hobbies:

Favorite Movie(s)/Television Programs:

Please return this completed form in one of three ways:

1.    Copy and paste it into an e-mail and send it to KimAHauenstein@aol.com

2.    Print a copy and fax it to (216) 791-2228 (attention UPCaM)

3.    Print a copy and send it to:  Rev. Kim Hauenstein, UPCaM, 11205 Euclid Avenue, Cleveland, OH 44106.

Thank you and we look forward to welcoming you to campus!