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Athey Women Devoted Host Application
Women's Ministry - Devoted Group Host
First Name
Last Name
Email
Home Phone
Mobile Phone
Date of birth:
Are you employed or attending school?
Yes
No
If yes, where are you employed or attending school at?
Background Check
Have you ever been convicted of a criminal offense?
No
Yes
If yes, please explain.
Do you agree to have a background check completed by Athey Creek?
I agree
Reference 1
Full Name
Email
Phone Number
Relationship to you
Reference 2
Full Name
Email
Phone Number
Relationship to you
Tell Us About Yourself
Tell us about the last two churches you have attended and your reason for leaving.
Is Athey your home church?
Yes
No
How long have you attended Athey?
Which service do you regularly attend?
Saturday - 4pm
Saturday - 6pm
Sunday - 8am
Sunday - 10am
Sunday - 12pm
How often are you in the Word?
Tell us a little about yourself:
Address
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Marital Status
Married
Single
Divorced
Widow
Engaged
Husband's Name (If married)
Preferred day and time to host?
Monday Morning
Monday Night
Tuesday Morning
Tuesday Evening
Wednesday Morning
Thursday Morning
Thursday Evening
Friday Morning
Friday Evening
Saturday Morning
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