Phone number
Phone type Mobile Home Work Other
Gender *
Select… Male Female
Which Church do you go to? *
Select… Austin Stone Anthem Capitol Candeo CityLight Fort Collins CityLight Lincoln CityLight Omaha Cornerstone Cottage Grove Doxology Doxa Embassy Keystone H2O Mercy Hill Story Hill Hill City Paradox Paradox Paradox Salt Church Salt City Stumo - TCU The Chapel The Commons The Well - San Marcus Veritas CR Veritas IC Other
Graduation Date
Enter Your Approximate Grad Date
Select… May 2021 Dec 2021 May 2022 Dec 2022 May 2023 Dec 2023 May 2024 Dec 2024 May 2025 Other
Potential Go-Date
Select… Feb 2022 Aug 2022 Feb 2023 Aug 2023 Feb 2024 Aug 2024 Feb 2025 Aug 2025 Feb 2026 Aug 2026 Feb 2027
Which of the following have you been a part of?
Which Missions organization would you like to go overseas with?
Best E-mail Address After College
If you have a personal Gmail address, this is most helpful to include
Have you been baptized after becoming a believer
If yes, put in an approximate date. If no, just leave blank
Relationship Status
Select… Single Dating Engaged Married Other
Why do you want to go overseas?
Who is someone that you could meet with or do meet with regularly to mentor/disciple you?
Put a few names if you are not sure who.
What's their email address?
If you don't have this, just send it to Shannon Ness at: sness@cornerstonelife.com when you have it.
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