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Personal Information
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| Name (first, middle, last) |
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| Email |
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| Phone Number |
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| Address |
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| Name of Emergency Contact |
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| Emergency Contact Email |
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| Emergency Contact Phone |
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Education & Experience
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| Degrees earned or pursuing (with year earned or expected) |
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| Current Employer & years at job |
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| Past jobs |
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| Work skills & hobbies |
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Ethical Background
Answering “yes” to any of these questions does not necessarily mean that you will be refused, but needs to be explained
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| Have you been involved with illegal drugs in the last 5 years? |
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| Do you have a record of criminal offense? |
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| Have you ever been involved in homosexual activity? |
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Spiritual Background
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| When and how do you believe you were saved? |
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| How would you describe your relationship with God right now? |
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Affirmations
Checked boxes and electronic signature will indicate that:
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All the information I have provided in this application is true to the best of my knowledge
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I will not hold Harbor Church or its agents liable for injury, disease, or delay of return, or any other claims, while under the auspices of Harbor Church.
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| Signature (please type your full name) |
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