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Graduation Ceremony
2024 College Outreach Ministry Grad Service Registration
"
*
" indicates required fields
Name
*
First
Last
Email
*
Address
*
Street Address
City
ZIP / Postal Code
Cell Phone
Home Phone
What middle school, high school or college are you graduating from?
*
What high school or college are you planning to attend? (type N/A if graduating from College)
*
What is going to be your Major or Area of Study? (type N/A if graduating from College)
*
Please list any graduating honors or awards:
*
Please list any scholarships earned:
*
Please describe, in detail, what are your future plans & goals:
*
Are you Baptized?
*
Yes
No