Student Registration

Welcome to Catholic Hoos! We would love to get to know a little more about you so we can get you connected in the best ways possible!

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number Please enter a phone number.

Year REQUIRED 1st 2nd 3rd 4th Grad PVCC Other Please fill out this field.

Dorm/ Apartment Address REQUIRED Please fill out this field. Please enter valid data.

Interested in joining a Small Group?

Where are you from?

Permanent Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Father's Contact Information

First Name Please enter valid data.

Last Name Please enter valid data.

Email Please enter an email address.

Phone Number Please enter a phone number.

UVA Alum? Yes No

Mother's Contact Information

First Name Please enter valid data.

Last Name Please enter valid data.

Email Please enter an email address.

Phone Number Please enter a phone number.

UVA Alum? Yes No