College Connect Card

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College Connect Card

Hey! We've got a few questions we'd love for you to answer.

10Questions

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Email
example@example.com
4
Birthday
Date
Month
Day
Year
5
Class
Please Select
Please Select
Freshman
Sophomore
Junior
Senior
Working
6
I am interested in...Mark all that apply.
Jesus
Salvation
Baptism
Membership
Volunteering
Missions
Discipleship Groups
7
Shirt Size
8
Campus/Dorm
9
Favorite Snack
10
Major/Work
Should be Empty:

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