Kaleo Student Discipleship Application Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Age* Birthday* MM slash DD slash YYYY Email* Cell*I am a... Student Faculty Staff Grade Level* Freshman Sophomore Junior Senior Major* I'm interested in: (Please list 1st, 2nd, 3rd choice)Participating in discipleship through a small group w/ mentor*First ChoiceSecond ChoiceThird ChoiceNot InterestedParticipating in discipleship with meeting 1 on 1 w/mentor*First ChoiceSecond ChoiceThird ChoiceNot InterestedParticipating in discipleship through a Group Book Study*First ChoiceSecond ChoiceThird ChoiceNot InterestedMeeting Frequency* Weekly Bi-monthly Meeting location preference? (List preferences in order)VirtualFirst ChoiceSecond ChoiceNot InterestedIn PersonFirst ChoiceSecond ChoiceNot InterestedWhat do you desire in your discipleship relationship?*What are some expectations you have for in someone discipling you?*What daily challenges do you feel that this discipleship relationship can help you conquer?*What are your hobbies and interests?*What University activities are you involved in?*