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There are several student groups and organizations that are religiously based, including identified faith-based student ministries.  If you wish to indicate your religious preference you may do so by completing the following information and submitting it. Completion of the form is optional. By completing the form you give your consent that a representative from one of the student ministries or religiously-based student organizations may contact you, and acknowledge that the information will not be retained in UTMB records.

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Please provide the following contact information:

Name
Street Address
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City
State/Province
Zip/Postal Code
Country
Telephone
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Religious Preference:

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This site published by Webmaster for Department of Pastoral Care. Copyright ©  2001 The University of Texas Medical Branch.
Please review our privacy policy and Internet guidelines. Last updated on 04/20/2006
This site published by Department of Pastoral Care. Copyright ©  2007 The University of Texas Medical Branch.
Please review our privacy policy and Internet guidelines.. Last updated on 08/28/2008