This form will be sent to your State/Regional Office, the International Offices, and a copy will be sent to your email.

MM slash DD slash YYYY
Have you read your Instructional Guide?
Did you meet this month with your applicant?
Identify the assignments completed this month.
Local Church Assignments
Number of Weeks Served
 
Identify the assignments completed this month.
Community Outreach Assignments
Number of Events
 

Assess the applicant’s in the following areas:

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