Student Connection Form
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Name? *
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Phone? *
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Current School Attending?
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On a scale of 1-10, how confident are you that you will spend an eternity with Jesus?
0%
100%
My prayer request is...
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If you were to stand before God, and he were to ask you “Why should I let you into my Kingdom?”, what would you say?
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I have a suggestion:
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I would like to:
Is this your first time filling out this form? If yes, please answer all the questions. If no, than you may stop here. *
I found out about LifePoint Students through:
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