AGWM Europe Contact Form

1
Name* This field is required.
First Name
Last Name
2
Phone* This field is required.
3
Email* This field is required.
4
Attending a Chi Alpha SALT Event?
YESNO
5
I am a* This field is required.
Please Select
Please Select
Student
CMIT
Staff
Director
6
Campus* This field is required.
7
Graduation Year* This field is required.
Please Select
Please Select
2025
2026
2027
2028
2029
8
I am interested in* This field is required.
Internships
Short Term Missions Trips
How to become a missionary.
How to help my student become a missionary.
9
Select your Age Range* This field is required.Please select the appropriate range for your age.
Under 18
18 - 25
25 - 40
40 - 55
55+
10
Date of Birth
Month
Day
Year
11
How did you connect with us?* This field is required.
ROAR Conference 2025
AG event (General Council, Fine Arts, or similar AG event)
Website or social media
Highlands College
College fair, missions week or university event (not Chi Alpha)
A missionary came to my church
Chi Alpha event
Other
12
Tell us more! Which church, university, or event are you attending?
13
Which Chi Alpha event are you attending?If you're at a SALT conference, don't forget to tell us which one!
14
Which Chi Alpha event are you attending?* This field is required.
South Central SALT
Southeast SALT
Northeast SALT
Big Sky SALT
Great Lakes SALT
Great Plains North SALT
Great Plains South SALT
West Coast SALT
Northwest SALT
Other
15
Which event are you attending?
16
Please explain your selection of "Other":
17
How are you interested in committing to partner with Europe missions?* This field is required.You may select more than one.
Volunteering in Europe (under one month)
Serving as a MAPS worker (1-11 months)
Serving as an MA (1-2 years)
Serving for a lifetime in Europe
Through praying and staying connected with Europe
Through giving to missionaries and projects in Europe
18
PRAY. Just to confirm:If you do not want to receive our prayer newsletter a few times a year, go back and unselect "pray".
Yes, subscribe me to the prayer newsletter.
19
Which country, region, or ministry is most interesting to you?
20
Tell us about yourselfYou may add a comment yourself or give to the AGWM worker to write any notes here for the Pipeline representative if necessary.
21
By submitting this form, you agree to receive email and/or mobile SMS messages.
Message frequency varies. Message and data rates may apply.
22
Tag
23
Source
Should be Empty: