Deposit Information Form – Christendom College

Admissions & Aid

Deposit Information Form

Student's Info

Title

Full Name (required)

Home Mailing Address (required)

Address Line 2

City (required)

State (required)

ZIP Code (required)

Home Phone

Cell Phone

Email (required)

Student Social Security #:


Parents’ Marital Status:
MarriedSingleDivorcedMother deceasedFather deceased


Father's Info

Father's Title

Father's Full Name

Father's Address is Same as Student's (If yes, skip address fields.)
YesNo

Address

Address Line 2

City

State

ZIP Code

Father's Job Title

Father's Work or Cell Phone

Father's Email

Father's Religion


Mother's Info

Mother's Title

Mother's Full Name

Mother's Address is Same as Student's (If yes, skip address fields.)
YesNo

Address

Address Line 2

City

State

ZIP Code

Mother's Job Title

Mother's Work or Cell Phone

Mother's Email

Mother's Religion


Parish Info

Parish Name

Pastor's Full Name

Parish Location


Additional Info

How many children are in your family:

How many children are still at home:

Your intended major at Christendom

Do you intend to request to live off campus? (Please note, only students who intend to live with family members in the nearby area can request this option):

Please click the "submit" button once and wait for the confirmation page.

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