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Likewise Summer 2023 Application
Application for Summer Term, June 19th through July 16th 2023
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By completing this application, you are authorizing Likewise Ministry to conduct a background and reference check, since you would be living near and ministering to minors during your stay. Do you consent to a background and reference check?
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Name
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Your answer
Birthdate
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MM
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DD
/
YYYY
Gender
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Male
Female
Home Address
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Your answer
Cell phone #
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Your answer
Email address
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Your answer
Do you have any allergies or medical conditions that we need to know about?
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Your answer
Please share your social media handles, i.e. Facebook, Instagram, Tiktok, etc.
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Your answer
Please list 2 personal references including phone # and email
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Your answer
Why do you want to visit Likewise Ministry and what do you hope to accomplish by visiting?
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Your answer
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