MID-SOUTH COLLEGE TOUR INFORMATION FORM

Greater New Liberty Church ALOT Youth, in the 11th and 12th grade are invited to join the Covered College Ministry on a Mid-South college tour. Please fill out the form below if you are interested.

Student's Name

First Name

Last Name

Student's Phone

(###)

###

####

Student's Email

Student's School

Student's Age

Student's Expected Graduation Date

MM

DD

YYYY

Preferred Method of Contact

Text

Call

Email