Church Employment Experience (Position, Church Size, Length of Employment) *
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Other Service to the Church or Denomination
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Reference #1: Name, Email, Phone, Relation to you *
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Reference #2: Name, Email, Phone, Relation to you *
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Reference #3: Name, Email, Phone, Relation to you *
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I authorize SMCC to contact any, or all, of these references. *
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Sexual Misconduct Self-Certification: The following information related to sexual misconduct was mandated by the Sexual Misconduct Policy and Its Procedures adopted by the 203rd General Assembly (1991), and was revised by the 205th General Assembly (1993). Please check one of the following: *
Sexual Misconduct Explanatory Comments
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List FIVE Leadership Competencies that you believe you possess by the grace of God, from the PC(USA) Personal Information Form. *