CSLI - Northeast Ohio Inklings Application
This application must be completed in one sitting. Please allow the necessary time to appropriately respond or copy the questions to a Word document to answer and paste responses to this form at a later time.
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Date Submitted:
MM
/
DD
/
YYYY
Location:
Basic Information
Last Name
First Name
Gender:
Street Address:
City:
State:
Zip Code:
Best phone number to reach you:
Best email address to reach you:
Name of Home Church
What year did you complete Year One of the Fellows Program?
Have you completed Year Two? (not required)
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