Adopt a College Student - Student Form
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
College Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthdate
*
Year of Study
*
Please select one option.
Freshman
Sophomore
Junior
Senior
Major/Field of Study
*
Favorite Snack(s)
Favorite Candy
Favorite Beverage
Favorite Fast Food/Restaurant
Interests/Hobbies
Food Allergies
Do you have your own transportation?
*
Please select one option.
Yes
No
How long do you want to participate?
*
Please select one option.
Spring 2025 Only
Spring 2025-Spring 2026
How can we be praying for you?
Submit
Description
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