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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
Transfer Student
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
LA Harbor
Long Beach City College
Orange Coast College
Saddleback College
Santa Ana College
Santiago Canyon College
UC Irvine
Not Listed
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
Can we contact you?
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