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Student
First Name
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Student
Last Name
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Student
Address
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Student
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Student
Email
* Parent/Guardian Phone #
* Parent/Guardian Email
* Do you regularly attend IMPACT, our Student Ministry's midweek worship gathering?
* List a reference (not family) - Include name, phone number, and briefly describe your relationship with them. Who is your IMPACT Connect Group Leader?
* Why are you excited to be involved with our servant leadership team?
* Have you accepted Jesus as your Savior? Describe your story.
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Student
Have you been baptized?
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Yes
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