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Fields marked with a * are required


Butterfly First Name:*
Butterfly Last Name:*
Butterfly Address*
City, State Zip:
Butterfly Email:
Butterfly Phone:*
When and where did you attend a Chrysalis/Walk/Cursillo/Search etc?:
What church are you now attending/Pastor Name?:
Tell us about your relationship with Jesus Christ:
Why should you be selected to serve as a member of the Background Team:
I HAVE PRAYED ABOUT SERVING AS A MEMBER OF BACKGROUND. I UNDERSTAND AND AGREE THAT AS A TEAM MEMBER I MUST HAVE A SERVANT'S HEART, PUTTING THE NEEDS OF OTHERS ABOVE MY OWN:
(This must be signed by checking to have your application processed)


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