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Pilot Application

Complete the application below to express your interest in participating in The Rapha Hub pilot program. After reviewing your submission, we will contact you with additional information about the pilot experience.

Contact Information

Tell Us About Your Needs

Which care needs are you currently seeing within your church or organization? Select all that apply.
Is your church or organization willing to contribute $150 per month for six months, totaling $900, to participate in the pilot?
Yes
No
Unsure
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