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Home		 Application to serve as a TEC team member, Part I

Application for TOGETHER ENCOUNTER CHRIST

Role in which you would like to serve:

First choice of weekend dates:
 Second choice of weekend dates:

     Or check here if you just want to be contacted when help is needed.

Name:

Birthdate (day, month, and year):

Spouse's Name:

Birthdate (day, month, and year):

Street Address:

City:
 State:
 Zip Code:

Home Phone (inc. area code):

Emergency Contact & Phone:

E-mail address:

Occupation/School:

Marital Status:

Do you have any children?

Are you a practicing Catholic?

Parish:

Pastor:

Have you been on TEC before? If so, which TEC #''s?

Which talks, if any, have you given on TEC?

Who told you about TEC?

Please describe any prior experience with teenagers or any other kind of retreat or weekend experience:

Why do you wish to serve as a member of a TEC team?

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