CMIT Spouse 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, and (3) I will abstain from the use of illegal drugs, alcohol, marijuana (unless prescribed by a medical doctor), and tobacco while under U.S. Missions as a missionary associate.

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Chi Alpha Campus Ministries https://chialpha.com
Signature Certificate
Document name: CMIT Spouse Applicant Signature- Answered Truthfully and Abstinence Statement
Unique Document ID: ab0c1b4e5a863264d039ef3fa2ef70626acb84cb
Timestamp Audit
October 14, 2019 7:05 pm CSTCMIT Spouse Applicant Signature- Answered Truthfully and Abstinence Statement Uploaded by CMIT Program - cmit@ag.org IP 66.119.29.16
October 14, 2019 7:17 pm CST Document owner mlynch@ag.org has handed over this document to cmit@ag.org 2019-10-14 19:17:38 - 66.119.29.16, 127.0.0.1