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Last Name *
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Phone Number *
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Email *
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What year will you be in the Fall *
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Which Residence Hall Do You Live In? *
If you live off campus, write 'off-campus'
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Are you in a Fraternity or Sorority? If so which one? *
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Would you like to be updated about social events? *
Would you be interested joining a small group bible study? *
Would you be interested in hearing about how to have a personal relationship with Jesus? *
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