HTC College Student Information Form

HTC College Student Information Form

Thank you for helping us identify and connect with college students within the Horizon Texas Conference! If you do not have the information requested, such as a phone number, please leave the specific question blank. If you have more than one student to share, please email Emily Frantz at emilyfrantz@htcumc.org or Melissa Shamburger at melissashamburger@htcumc.org. for a spreadsheet to fill out instead. We appreciate your help in keeping college students connected to the Horizon Texas Conference and its ministries!
If you are filling this form out on behalf of a student, please share your name

First NameLast Name
If you are filling this form out on behalf of a student, please share your email
example@example.com
Name of Student

First NameLast Name
Email Address of Student
example@example.com
Phone Number of Student
Please enter a valid phone number.Format: (000) 000-0000.
School of Student
Home Church of Student
HTC District
Should be Empty: