* All fields are required           

Your Name

Your Email

Your City

Your State

College/University you will be praying for:
If "Other," please type in college/university name below:

Date (If committing to a timeslot for all 40 days, please select 08/21/17 for the date.)

40 Day Commitment: I want to pray during the following time slot every day from August 21 - September 29.

Start Time (Optional)
Length (in minutes)

I commit to pray for the above university.
(Your Initials)