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Coffee With a Christian Volunteer
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First Name
*
Your answer
Last Name
*
Your answer
Address
*
This will be used to mail you important information regarding Coffee With a Christian and is completely optional, we will never sell your personal information
Your answer
City
*
Your answer
State
*
State Initials
Your answer
E-Mail Address
*
Your answer
Cell Phone Number
*
We do not sell information and will not contact with anything other than meet up requests
Your answer
Home Zip Code
*
the postal code for the place you live
Your answer
Work Zip Code
*
The zip code for the area you work at
Your answer
Birthdate
*
This is used to match you with inquiries of a similar age
MM
/
DD
/
YYYY
Gender
*
used to match you with inquiries of the same gender
Male
Female
What dayswork best for you to meet up
*
please check all that apply
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
What times of day work best for you?
*
please generalize and add nuance to the comments
Mornings
Afternoons
Evenings
Required
Schedule Comments
Your answer
How long have you been a Christian
*
Less than one year
1 - 3 Years
3 - 5 Years
5 - 10 Years
10+ Years
Briefly describe any evangelistic training you have recieved
Your answer
Why are you interested in sharing the Gospel
*
Your answer
Briefly describe the Gospel as you understand it
*
Your answer
Comments & Suggestions
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