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Student Connection Form
Thank you for helping us connect with students at UC Davis! All information shared here will be kept confidential and will not be shared outside of CA House.
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Name of student
Your answer
Student's email address
Your answer
Student's cell phone number
Your answer
Year at UCD?
First year (freshman)
Returning student (undergrad)
Transfer student (undergrad)
Graduate student
Unknown/not sure
Clear selection
Church affiliation or home congregation (if applicable)
Your answer
Anything we should know about this student?
Your answer
Your name (optional)
Your answer
Your email (optional)
Your answer
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