Family Placement Program

Tell us about you

We are happy you are making Concordia and Cloud County your home! Please fill out the following survey to help us get you settled in. After you complete the survey, we'll get to work on putting together the information you might need to start making this your home.

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* 1. What is your name?

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* 2. Please provide your contact information

Phone Number

Address

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* 3. What brings you to Concordia/Cloud County?

Job Opportunity

Closer to Family

Health/Medical

A nice change of pace

Other (please specify)

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* 4. Where do you work/what do you do?

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* 5. When are you moving to the area?

Estimated Date

Date

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* 6. Have you found a place to live?

Yes, we have purchased a house

Yes, we are renting

No, but we are working with a local realtor

No, and we need help finding a realtor

No, and we need help finding rental properties

Other (please specify)

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* 7. Please let us know if you would like information on any of the following churches:

Catholic

First Christian

Wesleyan

Trinity United Methodist

First United Methodist

Non-denominational

Lutheran

Baptist

First Baptist

Jesus Christ of LDS

Episcopal of Epiphany

Living Hope Foursquare

Crossroads

No thanks

Other (please specify)

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* 8. What are you interested in? Please choose from the options below:

Basketball

Baseball/Softball

Football

Volleyball

Golf

Running

Hiking

Disc Golf

Dancing

Cooking

Hunting

Fishing

Art

Nightlife

Clubs/Organizations

Reading/Book Clubs

Walking

Theater

Movies

Working out/Going to the gym

Crossfit

Yoga

Weight Watchers

Live Music

Other (please specify)