Q1
Q2
Q3
Q4
demographics
Tell us about yourself.
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4
Basic Info
First Name
Last Name
Phone Number
Birth Month and Year
Q2
Q2
demographics
Tell us about yourself.
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4
Where do you live?
Street Address (optional)
City
State
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Another option
Zip Code
Q3
Q3
demographics
Tell us about yourself.
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Education
I am
Select one
Middle school student
High school student
High school graduate
College student
College graduate
Seminary student
Seminary graduate
Graduate student
Postgraduate student
Completed education
Where are you enrolled in high school?
Expected graduation date
Where did you attend high school?
Graduation date
Do you plan to attend college?
Select one
Yes
No
Where did you attend high school?
Where are you enrolled in college?
Undergraduate major(s)
Expected graduation date
Degree you are earning
Do you plan to attend seminary or graduate school?
Select one
Yes
No
Not Sure
Degree sought
Where did you attend high school?
Where did you attend college?
Graduation date
Degree earned
Do you plan to attend seminary or graduate school?
Select one
Yes
No
Not Sure
Degree sought?
Where did you attend college?
Graduation date
Degree earned
Where are you enrolled in seminary?
Expected graduation date
Degree you are earning
Where did you attend high school?
Where did you attend college?
Graduation date
Degree earned
Where did you attend seminary?
Graduation date
Degree earned
Where did you earn your undergraduate degree?
Where are you currently enrolled?
Program of study
Expected graduation date
Where did you earn your undergraduate degree?
Program of study
Where did you earn your graduate degree?
Degree earned
Graduation date
Q4
Q4
demographics
Tell us about yourself.
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4
Church Info
Do you currently attend church?
Select one...
Yes
No
What church do you currently attend?
How long you have been attending?
How often do you attend?
Select one...
Multiple times per week
Every week
Almost every week
About once a month
Seldom
Select all groups or events in which you have participated:
ELCA Youth Gathering
“God’s work. Our hands.” Sunday
Lutheran Disaster Response
Lutheran Outdoor Ministries
Lutheran Volunteer Corps
Mission Builders
Young Adults in Global Mission
Young Adult Ministry
Youth Ministry
Urban Servant Corps / Border Servant Corps
Elisha’s Call
Horizon Apprenticeship Program
Lutheran Campus Ministry
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