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EMT Applicant Reference Form

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EMT Applicant Reference FormSTRYV Creative2020-02-13T12:24:14-05:00

EMT Applicant Reference Form

NOTE: PLEASE BE HONEST! This applicant is discerning whether participation in EMT (and perhaps a local outreach team) is the Lord’s desire for him or her this summer. Would you please help in this process by truthfully providing the following information? If you have questions, please call 717.627.1996 or email youth@dcfi.org.

"*" indicates required fields

Applicant Name*
Name of Youth Leader/Mentor*

Relationship

Spiritual Maturity

Recommendation

Do you feel the applicant is ready for an experience like EMT?*
MM slash DD slash YYYY
Clear Signature
This field is for validation purposes and should be left unchanged.

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