XAi Re-Entry Connection Form

Please fill out this form with the permission of your international student. For a secure and smooth connection, please answer each question with as much information as possible.

The XAi Re-Entry Specialist will reach out to you within a week with updates and any clarifying questions.

SECURITY NOTE: Remember to properly communicate this connection with your international student. Due to higher risk security countries, refrain from referring those we are connecting your student to as "missionaries". You can say “We have friends who are believers where you are going, and I would love to introduce you to them!”


Email *
CONNECTION INFORMATION
Your Full Name *
Your Contact Information *
Please provide the contact information you will respond quickest to.
Chi Alpha Campus  *
International Student's Full Name *
Student Gender *
Student Home Country and City *
Anticipated Location Post Graduation *
Anticipated Arrival to New Location  *
MM
/
DD
/
YYYY
International Student Contact Information *
Please provide the contact information that they will use post Chi Alpha and respond quickly to. For sensitive nations, include information that may not be monitored by their family.
How would your student like to initially connect with who we will connect them to? *
Select all that apply
Required
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