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Dear Youth Leader/Sunday School Teacher/Teacher,

The person who has directed you to this form is applying to staff or a school at Youth With a Mission in Chico, California because their parents are applying to staff or a school at Youth With a Mission in Chico, California. Please fill it out to the best of you knowledge so we can get to know the applicant as well as possible.

Applicant's Name
Name
Your Address
Would it be okay if we called you regarding the applicant?

Please rate the following in the applicant and comment as necessary

How would you rate their level of faith?
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