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Tell us about yourself...
Name
*
First Name
Last Name
Email Address
*
Phone
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Gender
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Male
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Date of Birth
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Where do you live?
Address
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Address 1
Address 2
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Citizenship / Immigration Status
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US Citizen
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None
Relationship Status
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Single
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Why do you want to canvass?
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Do you speak Spanish?
*
Yes
No
Have you been baptized? If so, when?
*
Have you ever been disciplined for actions which violate the Seventh-day Adventist standards/principles, or for anything illegal? If yes, please explain.
*
What school do you attend?
Which school are you planning to attend next year?
Are you interested in attending Ouachita Hills College/Academy?
How did you hear about our canvassing program?
*
Preferred Location **ALL CANVASSERS REQUIRED to be PRESENT on program start date, otherwise your spot may be forfeited to the next waiting applicant. Exceptions must be approved by Director.**
*
June 13—July 13, 2023 | TBD
Explain below if unable to fulfill full time of your commitment:
If under 18, please enter your parents contact info.
Address 1
Address 2
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Reference 1 (Pastor/Elder)
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*
First Name
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Phone
*
(###)
###
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Email
*
Reference 2 (Teacher/Mentor)
Name
*
First Name
Last Name
Phone
*
(###)
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Email
*
Reference 3 (Work Supervisor)
Name
*
First Name
Last Name
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(###)
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Email
*
Thank you!
