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TCBC | Champaign-Urbana, IL

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9 & 10:45 a.m. - Christian Formation Classes & Worship Services

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Adopt-A-College Student Program (college student form)

Name: *

Major:

Year in School:

Freshman

Sophomore

Junior

Senior

Grad Student

What are your main interests/hobbies?:

Do you like children?:

Yes

No

Do you like pets?:

Yes

No

Do you have food allergies?:

Yes

No

If yes, what foods can't you eat?:

Do you already have an adopted family?:

Yes

No

If so, who?:

Is there another student you would like to be paired with?:

Yes

No

What is the student's name?:

Do you have a vehicle on campus?:

Yes

No

Email address: *

Phone number:

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