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MIDTOWN CAM CONNECT FORM
If you are in college, graduated college, or have never gone to college but are in the 18-25 age range we want to connect with you. Fill out the form below and one of our staff will reach out!
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Date
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DD
/
YYYY
First Name
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Your answer
Last Name
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Your answer
Gender
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Male
Female
Email
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Your answer
Phone #
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Your answer
If you are in school, where?
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Your answer
Class Year
Freshman
Sophomore
Junior
Senior
Grad School
Other:
If you are not in school, what do you do?
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Your answer
I'm looking for... (check all that apply)
*
1 on 1 Mentorship
A Host Family
Serving Oppurtuniteis
Community
Other:
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I'd like to explore...
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Questions I have about faith, God, and the Bible
Questions I have about church and membership
Questions I have about baptism
Other:
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