CMIT Applicant Signature- Answered Truthfully and Abstinence Statement


By signing below, I certify that (1) I answered all questions truthfully, with the information contained in this application to be correct to the best of my knowledge, (2) I voluntarily and knowingly authorize U.S. Missions to contact the personal references named attached, (3) I understand and agree to abstain to abstain from using tobacco, alcohol, illegal or recreational drugs in any form, and involvement with pornography, and (4) I have never been involved and will not be involved with inappropriate sexual contact with a child.

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Chi Alpha Campus Ministries https://chialpha.com
Signature Certificate
Document name: CMIT Applicant Signature- Answered Truthfully and Abstinence Statement
Unique Document ID: 2a362f4f2761951853db3259b5c42e30a69f8053
Timestamp Audit
October 18, 2017 4:32 pm CDTCMIT Applicant Signature- Answered Truthfully and Abstinence Statement Uploaded by CMIT Program - cmit@ag.org IP 66.119.29.16
December 6, 2017 12:45 pm CDT Document owner mlynch@ag.org has handed over this document to XAAffiliations@ag.org 2017-12-06 12:45:28 - 66.119.29.16
November 26, 2018 4:37 pm CDT Document owner XAAffiliations@ag.org has handed over this document to cmit@ag.org 2018-11-26 16:37:47 - 66.119.29.16, 127.0.0.1