APOSA CM Ministry Ambassador Form

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* 1. Name

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* 2. Email address

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* 3. Phone Number

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* 4. Name of College

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* 5. What Year

Freshmen

Sophmore

Junior

Senior

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* 6. Apostolic Church Member

Yes

No

Name of Local

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* 7. Are You Interested in being a Campus Ministry Ambassador?

Yes

No

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* 8. Tell Us A little bit about you