If less than three years, please list PREVIOUS CHURCH
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LENGTH OF TIME
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CURRENT EMPLOYMENT
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PHONE
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LENGTH OF SERVICE
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JOB TITLE
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TWO PREVIOUS EMPLOYERS/LENGTH OF SERVICE/JOB TITLE
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REFERENCES: List 3 people, other than relatives, who have known you for at least 3 years.
NAMES
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Addresses
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Phone Numbers
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LIST PREVIOUS CHURCH WORK (as a volunteer or staff person) involving youth.
Church
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Ministry Area
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Approximate Dates
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I agree to observe Grace procedures regarding volunteering with youth and I hereby authorize Grace Lutheran Church to verify the information contained in this application.
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Virtual Signature
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