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ACTS - Men Team Application (April 2019)

- Parish Life

Please fill out the application below.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- I am a Parishioner at St. Patrick Church Yes No
- If Yes, Envelope Number Please enter valid data.
- If No, Name of Your Parish Please enter valid data.
- I lived my ACTS Retreat (MM/YYYY)(Director) REQUIRED Please fill out this field. Please enter valid data.
- I have served on team
- When was the last time you served (MM/YYYY) (Director) REQUIRED Please fill out this field. Please enter valid data.
- Have you currently served on two consecutive retreats for given year? REQUIRED Please fill out this field. Please enter valid data.
- I have been a leader of the following ministries or services while on team:
- Are you on team right now, if yes please provide information: (ex. parish, retreat date) REQUIRED Please fill out this field.
- Do you attend a faith sharing group? If yes, please provide name. REQUIRED Please fill out this field.
- I serve on the following ministries at St. Patrick. (ex. Men's Club, Lectors)
- Donation$150.0
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