Coaching Center - Finding Your Place
Finding Your Place
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Finding Your Place
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Information About You...
First Name
Last Name
Home Address
City
State
Zip
County
(optional)
Home Phone
Cell Phone
Email
Date of Birth
(format: mm/dd/yyyy)
Gender
Male
Female
Describe Yourself...
Stage of Life
Junior High School Student
High School Student
College Student
Adult
Parent
Teacher/Admin
Athletic Coach
Youth Worker
Youth Pastor
Pastor
Local Church
Para-church / organization
Other
Marital Status
Single
Married
Divorced
Spouse First Name
Do you have a college degree?
Yes
No
If Yes, College/University
Major
Year of Graduation
Please Complete This Section If You Are Currently A College Student...
College/University
Major
Projected Graduation Date
Year in School
Freshman
Sophomore
Junior
Senior
Complete if different than above:
School Address
School City
School State
School Zip
Finding Your Place...
I would like more info about:
check all that apply
Working directly with students
Starting Student Venture locally
Operational Services
Venture Web (Internet Design)
Venture Media (Graphic Design, Video, Photography, Writing)
Computer Services
Conference Volunteer
Other
:
In what ways would you like to be involved?
check all that apply
Student Venture Staff
Yearly Internship
Summer Venture Project
International Short-Term Mission
Volunteer
What is your level of interest?
Extremely interested; really want to pursue this
Very interested in pursuing this, just need more information
Moderately interested
Somewhat interested; it sounds like a good thing
Low Interest
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