Canvassing Leader Application

* Current Photo

* First Name

* Last Name

Age

Gender

Marital Status

Phone Number

Do you have a Social Security Number?

Bilingual?

Yes No

* How many years have you been a Seventh-day Adventist?

* How many years have you canvassed as a student?

* In what conference did you canvass?

* What was the name of your head leader and publishing director?

Have you ever been the leader in a student program before?

Yes No

* If yes, what conference?

* What was the name of your head leader and publishing director?

* How many years did you lead in your previous conference?

* Why do you desire to lead for FMM?

* Do you have a valid drivers license?

* When was the last time you received a speeding ticket?

* Have you ever been at fault in an auto accident?

* We accept leaders who will commit to at least 2 years in our program. What is your commitment length?

* Additional info: