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Please fill out the following form
and return it no later than November 19, 2007

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Feel free to attach additional pages and/or a job description.  The more information you provide, the better equipped we will be to find the appropriate person to join your church family.

Page 1 of 1
Pastor: Church: Mailing Address: Phone (Work):  Enter a valid phone number. Example: 123-456-7890 Phone (Home):  Enter a valid phone number. Example: 123-456-7890 Fax Number:  Enter a valid phone number. Example: 123-456-7890 Email:  Enter a valid email address. Example: name@company.com Gender Preference for student: (please check one) Female Male No preference Please indicate any other required experience or qualifications that are mandatory (i.e. Nazarene background, etc). Who will be responsible for weekly communication with the student prior to arrival? (Please include contact information if different than above). Who will the student have regular meetings with during the summer? (Please include contact info if different from above). What areas of ministry will be the focus for your student? Please indicate any other necessary information regarding your church and the program so that we can find the student(s) who will be the best fit for you. Pastor's Signature & date: