Let’s keep in touch!

Whether you graduated from one of our ministry locations or are interested in our pursuit of Christ on campus, please give us your information below! Your information will be used to keep you updated on what we’re doing and how we’re seeing God move! In return, we’ll send you a free “You are Loved” sticker!

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Optional Information

Campus Association

Phone

(###)

###

####

Date of Birth

YYYY

Spouse Name

First Name

Last Name

Maiden Name

Any additional information

This information is confidential and will not be shared with a third party.