UKirk Student Information Form
UKirk Atlanta will not share this contact information outside of this organization. By filling out this form, you give permission to UKirk Atlanta to add you to our email and newsletter communications. You may request to unsubscribe at any time.
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Name *
If your pronouns are different depending on circumstances, please let us know at the end of this form.
School you attend *
Campus Email *
Non Campus Email
Phone Number
Year in School *
Where are you living this year? *
Mailing Address
What are you hoping to find in a campus ministry? *
How can we best support you during this year? *
Would you like a coffee or lunch meeting with a campus pastor or other student to learn more about UKirk?
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Anything else you would like us to know?
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