Holy Cross Young Adult Committee Survey

Name:    
Address:      City, State, Zip: 
Phone #:  E-Mail Address:


Best Way to Contact You: Phone    Mail    E-Mail
Last Time You Went to Holy Cross Lutheran:
Are You Currently Going to Church? Yes   No

If yes, where?
What are You Currently Doing? School
  • Where?
  • Degree?
  • Expected Graduation?

Military     Branch?

Work     Where?

Other

Activities of Interest:
 (list things that you like to do in your free time) 
Miscellaneous:Relationship Status:

Do you have any children?  Yes  No
If yes, please list names and ages:
Comments or Suggestions:

     
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