College Student Information Form

Step 1 of 2: Submit

Name of Student:

NTC Member? Yes No

Gender? Male Female

Age (Optional): Name of College, University, or Other Post-Secondary Institution: Area or Field of Study: College Status: If you selected Other please provide your college status: Anticipated Date of Graduation:

Name of Dorm (if applicable): Street Address and Apt or Dorm (if applicable):

Is this address on campus? Yes No

City: State: Zip Code: Student Home Phone (include Area Code): Student Cell Phone (Include Area Code): Student E-mail: Best method of contact? What is the best day and time to contact you?

Would you like a prayer partner? Yes No

Do you have a prayer request at this time? Yes No

If yes, please provide your prayer request:

If you have provided a prayer request should we contact you directly to pray with you? Yes No I did not provide a prayer request.

Name of Parents/Guardians:

Parents or Guardians NTC Members? Yes No

Parent Street Address and Apt: Parent's City: Parent's State: Parent's Zip Code: Parent Home Phone (Include Area Code): Parent Cell Phone (Include Area Code): Parent E-mail:

Book Scholarship Applicants ONLY

Upload the information requested below if you are an eligible college freshman. See Book Scholarship application letter for eligibility criteria:

Upload a copy of your letter of acceptance from your college or university.

Upload a copy of your college registration form with a list of your classes.

Upload a copy of your original receipt with the amount paid for Books or upload one of the items below.

Upload a copy of your original receipt with the amount paid for School Supplies or upload one of the items below.

Upload a copy of your original receipt with the amount paid for Tuition or upload one of the items below.

Upload a copy of your original receipt with the amount paid for Housing or upload one of the items above.