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* 1. Please indicate your age range

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* 2. Please provide your name, email, contact number, and which Rush Creek campus you attend

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* 3. Marital Status

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* 4. How would you describe your current church involvement?

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* 5. How would you describe where you are on your spiritual journey?

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* 6. In your view, what are the most pressing challenges to men today?

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* 7. Please select topics that would most interest you.

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* 8. Would you like more information on attending a weekly men's small group bible study if the day and time was convenient for you?

  Mornings Mid-day Evenings Anytime
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 9. Please indicate areas in which you have a high degree of skills/experience/comfort

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* 10. Are you interested in helping mentor/disciple another man? Or, are you a man who desires to be mentored by another man? Please indicate all that apply:

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* 11. How do you prefer to be notified about events at Rush Creek?

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