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{\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\keepn\sb100\sa100\qc\b\f0\fs28 APPLICATION FOR HARVEST SCHOOL OF MINISTRY\par
\fs18 Arch-Bishop Zeno B. Darden III\fs28\par
\pard\sb100\sa100\qc\fs24 Please type or print legibly and fill in completely. You may use additional sheets. \par
\b0\par
\pard\sb100\sa100\b 1. Full Name\ul \ulnone \par
2. Address\ul \ulnone \par
3. City, State and Zip\ul \ulnone \par
4. Home Phone ____________ Business Phone ____________ Fax\ul \ulnone\par
5. E-Mail Address\ul \ulnone \par
6. DOB \ul \ulnone Male _____ Female _____ \par
7. Marital Status\ul \ulnone \par
8. Name of Spouse\ul \ulnone \par
9. Names and Ages of Children in Home\ul \ulnone \par
_____________________________________________________ \par
______________________________________________________ \par
______________________________________________________ \par
10. Christian Experiance\ul \par
\par
\ulnone\par
11. Education\ul \ulnone\par
\par
12. Major\ul \par
\ulnone\par
Written Signature_____________________________________________ \par
\par
Printed Signature_____________________________________________\par
\par
You may mail or fax your application to \par
1501 Martin Luther King Dr.\par
\tab\tab\tab\tab Gary, Indiana 46407 \par
\tab\tab\tab\tab\tab Phone# (219)886-9020\par
\tab\tab\tab\tab\tab Fax#(219)980-9725\par
\pard\b0\f1\fs20\par
}