DCM/Alt DCM Questionnaire
General information and service interests
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Email *
Name *
District/Zone *
Address/City/Zip *
Telephone *
Email Address *
As of Jan. 1, 2023, I will be *
Time/Day/Location of Monthly DCM Meeting *
Do you have joint meetings with other Districts? *
If yes, time/day/location of joint district meeting
Have you ever participated in an Area Assembly? *
If yes, what did you do to participate?
Please indicate which of the following service responsibilities you are willing to accept: (Check all that suit your willingness/interest.) *
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