Raw Score for this Application:  out of  - % <br /><br/>Q1. First Name, Last Name  <br/><b>Client:</b><br/> <br />
                <b>Division:</b>  <br/><br />Q2. Are you active in your community (outside of church activities)?  <br/><input type="radio" id="2023" value="2023" name="2" checked=""> <label for="2023">  One or more community involvement(s)  </label><br />
    <input type="radio" id="2024" value="2024" name="2" checked=""> <label for="2024">   None  </label><br />
    <br />Q3. If you indicated community involvement in question #1, we need further information.  <br/>
            
<table width="700" border="1" cellpadding="0" cellspacing="0"> <thead>
	
	<tr>
		<td>
		<b>NAME OF ORGANIZATION</b></td>
        <td>
		<b>ORGANIZATION’S CITY, STATE</b></td>
		<td>
		<b>FROM:</b></td>
		<td>
		<b>TO:</b></td>
		<td>
		<b>YOUR POSITION:</b></td>
		<td>
	   <b>	SUPERVISOR’S NAME/PHONE NUMBER:</b></td>
		<td>
		<b>DID YOU LEAVE IN GOOD STANDING:</b></td>
	</tr> </thead><tbody>
            
            

</tbody></table>         
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