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Local Church Staff Information
(This information will not be shared outside of the NCIPHC Office)
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Email
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Your email
Church Name
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Your answer
Church Mailing Address
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Your answer
Church City
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Your answer
Church State
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Your answer
Church Zip
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Your answer
Phone #
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Your answer
Your Name
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Your answer
Your Phone #
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Your answer
Please check the appropriate box or boxes that best describe your role at the local church
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Senior Pastor
Associate Pastor
Worship Pastor
Youth Pastor/Leader
Childrens Pastor/Leader
Sunday School Teacher
Church Secretary/Treasurer
Girls Ministries Leader
Boys Ministries Leader
Other:
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