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, (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 Spouse Applicant Signature- Answered Truthfully and Abstinence Statement
Unique Document ID: 7b809efecaa80ee2014765f0a3cc5000332c3d06
Timestamp Audit
October 14, 2019 7:05 pm CDTCMIT 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 CDT 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