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Refer a Student
With the student's permission, please share their information with us so we can be in contact with them. If your student is attending out of state, help them connect through UKirk refer a student,
https://ukirk.org/refer-a-student-to-a-ukirk-network-ministry/
.
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Name of Student
Your answer
Email
Your answer
Cell Phone Number
Your answer
Home Address (Street, City, State, Zip Code)
Your answer
School Address (Street, City, State, Zip Code
Your answer
College or University they are attending
Your answer
Home Congregation (name, city)
Your answer
Other Information you want to share:
Your answer
Person referring student ( first,last name)
Your answer
Referer's email
Your answer
Referer's phone
Your answer
How do you know the student you are referring?
Your answer
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