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* 1. Name (First and Last)

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* 2. Preferred Name (If different from full name)

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* 3. Birth Date

Date

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* 4. Gender

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* 5. Phone Number

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* 6. Email Address

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* 7. Mailing Address

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* 8. Are you available to work from May 16, 2020 - August 5, 2020?

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* 9. If "no" please provide more information.

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* 10. Have you ever had any speeding tickets and/or car accidents?

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* 11. If "yes" please provide more information.

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* 12. Have you ever been charged with a DUI/DWI?

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* 13. If "yes" please provide more information.

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* 14. Have you ever been arrested?

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* 15. If "yes" please provide more information.

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* 16. Please tell us a little bit about your faith background and current spiritual journey.

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* 17. Have you attended Seminary?

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* 18. If "yes" please provide School and Graduation Date.

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* 19. Have you worked for / with a Christian organization or ministry in the past?

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* 20. If "yes" please provide the organization name, dates you were involved, details about your experience/responsibilities.

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* 21. Have you worked with high school and/or college aged students in the past?

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* 22. If "yes" please provide more information.

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* 23. Have you ever volunteered with Appalachia Service Project? 

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* 24. Why do you want to work with Appalachia Service Project?

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* 25. Please provide a Professional Reference below.

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* 26. Please provide a Ministerial or Seminary Reference below.

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