Refer a Student — LCMS U Arizona

College Student Referral Form

We look forward to welcoming all LCMS college students here to school. Whether you are referring a student (or yourself) or are a current (or future) student, please use this form to make contact with us.

Your Name

Who is filling out this form?

First Name

Last Name

Your Email

This is important in case we have questions or need more information.

Relationship

What is your relationship to the student you are referring?

Student Name

Who is the student attending, or getting ready to attend school?

First Name

Last Name

School

What school are they attending?

Year in School

Do you know what year they will be in school as of the Fall of 2023?

Student Cell Phone

If known

(###)

###

####

Student Email

If known

Student Contact Preference

Do you know the best method of contacting them?

Home Church

Please let us know if they have a home church and in what city/state.

Additional Information

Please let us know any other background information that you believe we would find beneficial.