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Christian Halls Fall 2024 Membership Form

This form is for Christian Halls new and returning members that desire to take classes through their local Hall for the Fall 2024 Semester.

All information regarding institutional deadlines, class availability, and Christian Halls policies can be accessed through your Hall director.

Membership Form

First Name^*

Last Name^*

Date of Birth^*

Email^*

Phone^*

Street Address^*

City^*

State^*

Zip Code^*

Country^*

Mentor/Guardian/Parent Name

Mentor/Guardian/Parent Email

Mentor/Guardian/Parent Phone

New or Returning Member^*

New Member Returning Member School Member

New Christian Halls members pay a one time $50.00 membership fee. You will be given an option to pay at the end of this form, or the Christian Halls business office will send you an invoice.

Hall^*

Academic Institution^*

Program Level^*

Fall 2024 Courses

Please type in the course code/s for the class/es you would like to take for the Fall 2024 Semester. If you do not know the course code/s, please request it/them from your Hall director.

Student Record Release Consent Form^*

All Christian Halls members must submit a copy of a signed Student Record Release Consent form found at the following link:

https://drive.google.com/file/d/1E5IrY7Fi_ytMhCDIVIsG5CSpaQHS8d89/view?usp=sharing

Please fill out this form and attach and submit with your membership form.

Fees

Other Fees
	Christian Hall Application Fee	50
	Total	0.00

Christian Halls Fall 2024 Membership Form

Membership Form

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