Adopt a College Student Sign Up
Are you a college student in the 2017-2018 school year? Would you like to receive care packages from Concordia while you're at school? Fill out this form and let us support you during the upcoming school year!
First Name *
Your answer
Last Name *
Your answer
Street Address 1 *
***Please enter the address you will be using throughout the school year.
Your answer
Street Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone *
(xxx-xxx-xxxx)
Your answer
Email *
Your answer
College You Are Attending *
Your answer
What year in school are you entering? *
Your answer
Please list some items that you like to eat, have as snacks, or restaurants you like to go to. *
Starbucks, Chik-fil-A, Protein Bars, Granola Bars, Favorite colors
Your answer
Please list any food allergies. *
Your answer
Submit
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