Exploring Service with CLC

Personal Information
Full Name*
First Middle Last
Preferred Name
First
Date of Birth*
Place of Birth*
Citizenship*
Cell Phone*
Email*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Permanent Address
(if different from current address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact
This is someone who will always know how to reach you
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone*
Email*
Relationship To You*

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Christian Experience
Please upload a description of how and when you came to know Jesus a Savior and trace your Christian growth since that time.*
Max. file size: 5 MB.
Name of Church Where You Are a Member*
Denominational Affiliation*
Church Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Pastor's Name*
First Last
Pastor's Phone*
Pastor's Email*
Are you attending a church different than the one mentioned above?*
- Yes
- No
Name of Church*
Denominational Affiliation*
Pastor's Name
First Last
Pastor's Phone*
Pastor's Email*
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
May we contact and talk with your pastor?*
- Yes
- No
Is your church supportive of your desire to work with CLC?*
- Yes
- No
Who in spiritual leadership have you talked with about serving in mission?*
What was their response?*
Describe your involvement in your local church or other ministry

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Company	Dates	Position	Main Responsibilities

Personal Information

School Name & Location	Major/Focus	Degree/Cert/Credits Completed

Name	Age

Language	Level of Fluency