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Institution Applied For Allendale Broad River Camille Griffin Grahm Evans Kershaw Leath Lee Leiber McCormick Perry Ridgeland Tyger River <\SELECT>

Name: Title Rev. Mr. Mrs. Miss <\SELECT>        Name Called:

Address:    City:   State:   Zip:

Home Phone:    Work Phone:    Cell Phone:

Date of Birth:    Email:

You will be asked to supply you Drivers License Number and your Social Security on the SCDC Volunteer Application that is required by all SCDC Volunteers.

Home Church:    Denomination:

Have you attended a Cursillo type weekend: Yes/No No Yes <\SELECT> 

        If Yes weekend attended   Weekend Cursillo Emmaus Via de Cristo Tras Dias Other <\SELECT>  Location:    Date:

Previous Kairos Experinece:         

Previous Cursillo etc Experience:  

Would you be willing to give a talk:  Yes/No Yes No <\SELECT>

Talents you will share (music, sign, etc.):

It is expected that you are active in your Reunion Group and your local church.  It is understood that attendance at Team Meetings is required and that reasonable attendance is expected  at monthly Kairos Reunions to be held in the prison in the 12 months following the Kairos weekend.  (Note:  Monthly attendance after the weekend does not apply to clergy.)  You must have attended at least one Kairos Reunion at the prison prior to serving on a team.