LIFE ON THE ROCK College Network Form

Thank you for supporting LIFE ON THE ROCK and for showing interest in the LOTR College Network. In order to make this project successful we would appreciate obtaining the following information about your Youth/Young Adult Group:

State (if USA) in which group is located
Country and province (if not in USA): ____________________________________________________

Nearest College or University
(may list more than one): ______________________________________________________________

Name of Group: _____________________________________________________________________

Name of Group Leader: _______________________________________________________________

Contact person name and phone/fax/email for those interested in finding out more information:

     _______________________________________________________________________________

Group affiliation (Diocesan, Parish, University Campus Ministry, etc.):

    ________________________________________________________________________________

Location/address of meeting (street address, room number, etc.):

    ________________________________________________________________________________

    ________________________________________________________________________________

Day and Time of Meeting (please include calendar or schedule if available):

   _________________________________________________________________________________

Average attendance: _________________________________________________________________

Patron Saint of Group or special devotion: ________________________________________________

Describe a typical meeting and special activities (Pro-life, Rosary, Bible Study, Adoration, Confession available, etc.).  Use an additional sheet of paper if necessary:
    _________________________________________________________________________________

    _________________________________________________________________________________

    _________________________________________________________________________________

For both men and women (circle one)?:          Both           Women only         Men only

Do you have a Website?:    No    Yes (URL): ______________________________________________

Approval and signature of parish priest or campus chaplain: __________________________________

Address: _________________________________________ Phone: ___________________________

Please mail or FAX this form to:
Life on the Rock - College Network
5817 Old Leeds Road
Irondale, AL 35210                                FAX: USA + 205-271-2920
USA

Thank you for your involvement and your prayers. We look forward to hearing from you soon.

Yours in Christ,

Jeff Cavins