First-Time Staff Reference Form

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First Name: *
Last Name: *
Church of which you are a member: *
Church City: *
List name and address of other churches you have attended during the past five years. *
List your ministry experiences during the past five years. List church's name and address, type of work performed, and dates. *
List all previous non-church work involving students. List each organization's name and address, type of work performed, and appropriate dates. *
List any gifts, calling, training, education, or other factors that have prepared you for student ministry. *
List two personal references. Reference #1 *
Reference #1 Address:
Reference #1 Phone *
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Reference #1 E-mail
Reference #2 *
Reference #2 Address:
Reference #2 Phone *
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Reference #2 E-mail

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