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CEN Team Interest Form
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* Indicates required question
Email
*
Your email
First Name:
Your answer
Last Name:
Your answer
Status:
Active
Non-Active
In Process
Clear selection
Team Roles acquired - ICS type
Yes
No
Prayer Leader
Care Leader
Share Leader
Administration
Safety Security Officer
Public Information Officer (PIO)
Operations Officer
Logisitics Officer
Financial Officer
Not sure need guidance
Yes
No
Prayer Leader
Care Leader
Share Leader
Administration
Safety Security Officer
Public Information Officer (PIO)
Operations Officer
Logisitics Officer
Financial Officer
Not sure need guidance
Clear selection
Address 1:
Your answer
Address 2:
Your answer
City:
Your answer
State:
Your answer
Zipcode:
Your answer
Church Affiliation
Your answer
Employment of Leader
Full
Part time
Retired
Clear selection
Phone/Cell
Your answer
Phone/Other
Your answer
Email/ gmail
Your answer
Do you agree with the Lausanne Covenant: (
http://www.christianemergencynetwork.org/about/statement-of-faith
)
*
Yes
No
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