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Symbol of democracy this picture show a child and his mom voting for french presidential e

Self-Referral for Nomination Form

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Date
Month
Day
Year
I would be interested in serving in one of the following areas:
Listed below are the working groups of the Presbytery of Wabash Valley:

Please provide the following information to facilitate our commitment to balanced representation:

Single choice
Female
Male
Age:
under 25
25-35
36-50
51-65
65+
Multi choice
Ethnic Identification (optional):
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