Provo YSA 63rd Ward Information Sheet
Date
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Month
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Day
Year
Date Picker Icon
Name
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First Name
Last Name
Preferred Name:
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Date of Birth
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Apartment No.
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Cell Number
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Gender
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E-mail
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Temple Recommend: Y/N
Patriarchal Blessing: Y/N
Priesthood:
Endowed:
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Served a Mission? Where?
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Please rate your interest/abilities in the following areas: (5 is highest - don't be bashful)
Conducting Music
1
2
3
4
5
Play the piano:
1
2
3
4
5
Vocal Performance:
1
2
3
4
5
Service Projects:
1
2
3
4
5
Organizing Socials:
1
2
3
4
5
Speaking in Church
1
2
3
4
5
Teaching:
1
2
3
4
5
Photography:
1
2
3
4
5
If given a Church calling, how faithful would you be? (1-5, 5 best)
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1
2
3
4
5
Is there anything else we should know about you?
Missionary Positions held:
Do you have any musical abilities: Y/N What are they?
Student: Y/N: School/Major
Home Ward Name, City and State
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Engaged: yes/no Date of Marriage:
Parents Names and Phone Numbers
*
Favorite Church Positions Held:
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In Case of Emergency Contact: Name and Phone No.
*
Hobbies and Interests:
Time in Ward (Spring,Summer, Fall, Winter)
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Should be Empty: