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 Candidate Application LOLA #9                                         LIGHT OF LOVE AMERICA #9 (English)                         Candidate Application  January 8-11, 2012  NAME: _________________________________________    BIRTHDAY: ___________________  GENDER: M /  F                              Last                              First                                                  MM/DD/YYYY          MARITAL STATUS:    SINGLE(    )         MARRIED(     ) ADDRESS__________________________________________________________________________________ PHONE: Home ____________________________   Cell Number:____________________________________       Email Address:______________________________________________________________________________ CHURCH AFFILIATION: _______________________________________________________________________  Sponsor: ___________________________________________________________________________________ Sponsor Contact: ____________________________________________________________________________  HOW DID YOU KNOW ABOUT LIGHT OF LOVE AMERICA?          ____________________________________________________________________________________________   If you have any questions, please contact Janet Shin 718-644-0110 This e-mail address is being protected from spambots. You need JavaScript enabled to view it or Daniel Chung 917-502-9313Â
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PLEASE ENROLL ME AS A CANDIDATE.  _____________________________________________                                   ______________________________ CANDIDATE SIGNATURE                                                        DATE   Â
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