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Directory Information Name U.S. Citizen Yes No Mailing address City ST Country ZIP Email Day Tel. Alt Tel. Fax Permanent address City ST ZIP Country Alt Email Denomination/Faith Group Affiliation Jurisdiction/District/Diocese/Conference/Assoc Jurisdictional Authority name/title Local Church Ministry Position Ordained/Licensed/Appointed Date College Degree/Date Seminary Degree/Date Grad Schl Degree/Date Prior CPE Dates Center Supervisor Academic Reference Name/Title City ST ZIP Email Personal...
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