Jeremiah's Journey (Young Adult) Survey
Jeremiah's Journey is the young adults' ministry at Upper Room Missionary Baptist Church, serving individuals between the ages of 18 and 35.

We're asking all Young Adults to complete this survey so that we can know who is in The Room, how to contact you and what you would like to see from this ministry!
Email *
Name (First, Last) *
Birthday *
MM
/
DD
/
YYYY
Email *
Phone Number *
Mailing Address *
What is the best way to contact you? *
Do you still fellowship with Upper Room? *
Where are you now on your current spiritual journey? (Share as much or little as you feel comfortable)
How could URMBC support you in you in your spiritual journey? *
For Young Adult events specifically, please choose the connection types that would be of interest to you (check all that apply).
How frequently would you prefer these types of connections to occur?
Clear selection
When are usually good times for you to engage in these types of connections? Choose all that apply.
Do you wish to receive ongoing information regarding Jeremiah's Journey? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy