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Contact

First Name:
Last Name:
Home Phone: (Ex. 123-456-7890)
Cell Phone: (Ex. 123-456-7890)
Email Address:

Current Address

Address:
Address:
City:
State:
Zip Code:

Permanent Address

Address:
Address:
City:
State:
Zip Code:

Background

Birthday: / / (MM/DD/YYYY)
Parent(s) or Guardian(s):
Church Attending:

Academic

High School: GPA: out of
College: GPA: out of (Leave blank if not applicable)
Major:
Academic Year Next Semester:

Short Answer

What do you do in your spare time? What hobbies, sports, music, or movies do you enjoy?

What organizations and extracurricular activities are you currently involved in?

Why do you want to live at Koinonia Christian Cooperative house?

What does serving others mean to you? How do you currently serve others?

How are you involved in your local church?

What are you passionate about?

Who is your role model and why?

Describe an experience in your life which helped to define who you are now.

What does being a Christian mean to you?

Submit

Return this application to: koin.info@gmail.com

Or

Koinonia Vice President
308 E Daniel St
Champaign, IL 61820