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1. Your Name (Contact Name) (Required.)

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2. Church Name (Required.)

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3. Church City (Required.)

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4. Your Email address

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5. Best phone number

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6. Does your church have a ministry to college students? (Required.)

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7. Is your college ministry focus year-round or just the summer?

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8. Do you have a leader of the college ministry?

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9. Does your church partner with BCM (Baptist Collegiate Ministry)?

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10. Have your students attended Confluence?

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11. How can we connect and serve you?

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