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Name

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Name:*

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Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:*

Email Address:*

Date of Birth:*

Country of Citizenship:*

Marital Status:*

Do you have kids?*

*Note: we do not accept students who have children without full time childcare provided by someone else.

Why do you want to do our DTS program?*

Is your family in favour of you doing this program?*

What is your relationship like with your church?*

Describe your volunteering experiences:*

Is there any additional information you would like to add?