Application to be a Volunteer Chi Alpha Leader

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We are honored you would like to work with us in reaching students for Christ on the campus through volunteering to be staff or a volunteer leader of a chapter of Chi Alpha. Please take your time to complete the following application and we will be in contact with you about next steps in our process.

Email *

Full Name *

Date of Birth *

Current Age *

Current Address *

Cell Phone *

Email *

Name of Campus Desiring to work at? *

Name of leader you are applying to work with or for? *

This may be your district/network leader or the director of a specific Chi Alpha Chapter.

Their Email: *

Their phone number *

Martial information (check all that apply) *

Single

Engaged

Married

Married with Children

Widowed

Divorced or annulled marriage*.

Other:

Required

Spouse full name (if applicable)

List children and ages (if applicable)

Highest level of education *

List degree(s) you currently hold & institution received from. *

Have you gone through the Pioneering Assessment (Ministry Planter Profile), if yes, please have your district forward your results to delyncole@gmail.com. *

Yes

Other:

Required

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