Name * |
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Address * |
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City * |
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State * |
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Zip * |
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Phone * |
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email * |
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Date of Birth |
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Age |
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Spouse |
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Occupation |
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Church |
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Training |
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Whom we would contact in case of an emergency |
Name |
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Phone |
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Name |
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Phone |
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Do you belong to any civic, fraternal, or secretive organizations? |
YesNo |
If Yes, Name of Organization |
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References |
Relative |
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Phone |
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Friend |
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Phone |
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Pastor |
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Phone |
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Jail ministry, preaching, and teaching requires your pastor’s recommendation. |
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BarberElectricianPantryBible StudyHousekeepingPhotographyCarpenterJail MinistryPlumbingComputersKitchenPrayer PartnerData EntryMaintenanceTeachingDonationsNurseYard WorkDrivingPainting |
Other
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What motivated you to volunteer at the mission?
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Other comments you would like to make:
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