Baptist Student Ministries - Incoming Student Registration Form

Baptist Student Ministries
Of SIU Edwardsville

Information For Incoming Students

Thanks for stopping by the BSM's website. If you plan on attending SIUE or one of the
other area colleges and universities, please let us know by completing the form below.

We'd love to have you be a part of Baptist Student Ministries!

Your name:

Street Address

City State ZIP

Home Telephone

Cell Phone

Your Birthdate

Your Home Church

E-mail

I am --

An Incoming Freshman

A transfer student

YES, I would like to receive a copy of "How To
Stay Christian In College"

If you don't have this next set of information, don't worry
about it. We'll get it from you later!

School address

School telephone

School e-mail