| First Name: * |
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| Last Name: * |
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| Date of Birth: * |
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| Address Street 1: * |
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| Address Street 2: |
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| City: * |
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| Zip Code: * |
(5 digits) |
| State: |
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| Home Phone: |
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Cell Phone:
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Receive Text Messages |
Email: (receive e-mail updates)
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| Are You A Member of a local Church? If so, name and Pastor's Name: |
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| Are you active in other civic or charitable organizations? If so what?: |
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Days you are most available:
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M Tu W Th F Sat
Varies |
I am most often available:
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Days Evenings Weekends |
Areas in which I would most like to serve:
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Become a Church Liaison
Organize Friends/Family to help
Assist with Events
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Prayer Chapter Leader
Participate on Prayer Team
Participate in Prayer Walks
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Attend a Truth Project Small Group
Become a Truth Project Facilitator |
 
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Become a Precinct Captain
Contact Voters by Phone
Conduct Voter Registrations
Participate in Precinct Walks
Deliver Voter Guides |
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Comments:
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