Board or Committee Interest Form

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Board or Committee Interest Form

Would you like to be more involved in the Christian Church (Disciples of Christ) Michigan Region? Do you feel you have the skills and gifts that could make a difference to our Region?

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* Indicates required question

Email *

Your email

Name *

Your answer

Address *

Your answer

Phone Number *

Your answer

Age *

22 or under

23-29

30-39

40-49

50-59

60+

Ethnic background *

African American

Asian American

Caucasian

Hispanic

Native American

Occupation *

Your answer

Church Membership *

Option 1

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