Discipleship Survey
Please fill out this form and click submit.
Name
*
Phone
*
Email
*
This address will receive a confirmation email
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Birthday
Connect Group
*
Please select one option.
Carter
College Connect
Fey
Frans
Huff
Long/Vellios
Parsons
Peel
Reinhart
Short
Stafford
Steelman
Stewart
Stockton
Weaver
White
Wilson
Withers
Wright
Wynstra
I'm not currently in a Connect Group
Select Option
Carter
College Connect
Fey
Frans
Huff
Long/Vellios
Parsons
Peel
Reinhart
Short
Stafford
Steelman
Stewart
Stockton
Weaver
White
Wilson
Withers
Wright
Wynstra
I'm not currently in a Connect Group
Who are you currently discipling?
Please help me find someone to disciple.
Please select all that apply.
Yes
Who is currently discipling you?
Please help me find someone to disciple me.
Please select all that apply.
Yes
Submit
Description
Please fill out this form and click submit.
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