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2019 - 2020 College Student Information
Please provide us with your (your child's) college information so we can send them care packages and info in the year!
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First Name
*
Your answer
Last Name
*
Your answer
Email
Your answer
Street Address or PO Box
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Cell Phone Number
Your answer
What year?
Freshman
Sophomore
Junior
Senior
Graduate level
Clear selection
College or University
Your answer
Is there anything in particular that you would like prayers for or would like us to know that is a challenge/struggle or joy/blessing for your college student?
Your answer
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This form was created inside of First Congregational Church of Glen Ellyn.
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