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Canvassing Application Form

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Tell us about yourself... *

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Gender *

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Date of Birth *

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Where do you live? *

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**For summer program only** Please upload photo of yourself for picture ID.

Choose File
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Citizenship/ Immigration Status
**We can only process pay for applicants with a social security # or work visa** *

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What is your relationship status? *

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Have you ever canvassed before? If so, where? *

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Why do you want to canvass? *

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Do you speak Spanish? *

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Have you been baptized? If so, when?

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Have you ever been disciplined for actions which violate the Seventh-day Adventist standards/principles, or for anything illegal? If yes, please explain. *

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What school do you attend? *

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Which school are you planning to attend next year? *

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Are you interested in attending Ouachita Hills College/Academy?

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How did you hear about our canvassing program? *

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Preferred Location
**ALL CANVASSERS REQUIRED to be PRESENT on program start date, otherwise your spot may be forfeited to the next waiting applicant. Exceptions must be approved by Director.** *

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If under 18, please enter your parents contact info.
(Names, email, phone, & mailing address are required)

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Reference 1 (Pastor/Elder) *

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Reference 2 (Teacher/Mentor) *

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Reference 3 (Work Supervisor) *

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