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NY GIRLS MINISTRY LEADER APPLICATION
June 7-9. If you have any questions you can email sphipps@nymn.org
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Email
*
Your email
Leader Applicant Name
*
Your answer
CLUB
*
Girls Only
Stars
Friends
My Church doesn't have a club
Section Rep
DOB
*
MM
/
DD
/
YYYY
AGE
*
Your answer
STREET ADDRESS
*
Your answer
CITY
*
Your answer
STATE
*
Your answer
ZIP
*
Your answer
TELEPHONE NUMBER
*
Your answer
Marital Status
*
Married
Single
Do you agree to submit to a background check (This is required in order to process your application)
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Yes
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