CryOut! Membership Follow-up Survey

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This is filled out voluntarily. Please be honest with your answer.

Name of Teen

Gender

Male Female Other: ‎

Date of Birth

Grade

School Name

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In a scale of 1-10 (1 being extremely uncomfortable and 10 being extremely comfortable) how comfortable are you dealing with conversations regarding race?

Please explain Racial Reconciliation to the best of your knowledge. What is It? How is it done?

Please explain who God is and the role God plays in your life.

How many projects have you completed while at CryOut!? (i.e. Recordings, Performances, Open Mics, Reconcile)

What is your GPA? (your information will not be shared)

Verification