Application

First Name *

Last Name *

Phone *

Email *

Date of birth *

On a scale of 1 to 5, how important is growing spiritually to you? (1 being low and 5 being high) *

1

2

3

4

5

Please explain. *

In what ways would you like to grow spiritually? *

Why do you want to go through the CoPassion Journey? *

Please select which semesters you would be available to do the CoPassion Journey. (Check all that apply) *

Any semester

Summer 2026

Fall 2025

Spring 2026 or later

In what areas do you need/want to grow vocational or professionally?

Do you have any other volunteer or work commitments?

Yes

No

Do you have transportation *

Yes

NO

How did you hear about CoPassion

a friend
church or ministry
on campus
other
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What school or college?

Anticipated or Previous Graduation Date

Major in college?

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