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Associate Board Application
Contact Information
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Cell Phone
*
Email
*
Verify Email
*
Email Copy
*
Verify Email
*
Date of Birth
(mm/dd/yyyy)
Education and Work
Undergraduate school and major
*
Graduate school and major
Current employer/ occupation
*
Work Phone
*
Church Information
Church Name
*
City and State
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How long have you attended this church?
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Please write a short testimony about your spiritual journey
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Skills and Interest
Why would you like to join the Caris associate board?
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Current non-profit/ volunteer affiliations
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What special skills or experiences would you bring to the associate board?
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How did you hear about Caris Pregnancy Counseling and Resources?
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Please share with us why you are passionate about working on behalf of women experiencing unplanned pregnancy in Chicagoland.
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Reference
Please provide one reference from a church or ministry leader
*
Phone
*
Email
*
Verify Email
*
Church or Ministry Name
*