Connect with The Navigators at Purdue!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is a way for us to continue connecting with you, whether that's getting involved in a Core Group Bible study, meeting other like-minded friends, or simply staying up-to-date with what we are doing on campus!

Name *

Email *

Cell Phone [written as (###) ###-####] *

I am a...

Male

Female

Clear selection

Anticipated Graduation Year *

I live on campus.

Yes

Clear selection

Res Hall & Room (EX: Cary NE 224)

I would like to talk to someone about Jesus. *

Yes

Maybe

Would you be interested in connecting with a small group and reading the Bible together? If so, check which option(s) work best for you: *

Men - Mondays @ 8pm

Men - Tuesdays @ 7pm

Men - Tuesdays @ 8pm

Men - Wednesdays @ 7:15pm

Women - Mondays @ 5:30pm

Women - Tuesdays @ 6pm

Women - Wednesdays @ 7pm

Women - Thursdays @ 7pm

Not interested

Required

I would like to receive emails about upcoming Navigators events. *

Yes

I would like to be included in this year's Purdue Navigators Slack (group messaging app). *We will add you by email unless otherwise instructed. *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms