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First & Last Name
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Email
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Cellphone Number
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Social Media
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I Am/An
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Incoming First-Year Student
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Ongoing Undergrad Student
Graduate Student or Post-Doc
Faculty or Administrator
Campus
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Cerritos College
Chapman University
Coastline College
CSU Dominguez Hills
CSU Fullerton
CSU Long Beach
Cypress College
El Camino College
Fullerton College
Golden West Colelge
Irvine Valley College
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Long Beach City College
Orange Coast College
Saddleback College
Santa Ana College
Santiago Canyon College
UC Irvine
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I would be interested in a community specifically for ____ students (check all that apply):
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Asian-American
Black
Latino/a
Native
Collegiate Athlete
Greek (Fraternity/Soroity)
International
Visual or Performing Arts
Nursing
Additional Information (check all that apply)
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I’m not a Christian, but I’m interested in learning more about God
I consider myself a Christian, and want to grow in my faith
I want to learn how to share my faith with others
I’m interested in leadership opportunities with InterVarsity on my campus
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