One moment please...
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please provide three references, one student and two other individuals who can recommend you for this ministry:
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please read and sign below:
The information I have provided in this application is true and complete to the best of my knowledge. I agree to participate in Stephen Ministry training, in Small Group Peer Supervision, and to function within the boundaries of Stephen Ministry as adopted by my Newman Catholic Community. I give permission for a Stephen Leader, if it deems necessary, to call my references, secure background check on me, and request a letter of recommendation from a health care provider.
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Please insert your full name that will constitute your signature
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