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* 1. Your Name (Contact Name)

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* 2. Church Name

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* 3. Church City

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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?

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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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