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(Preferred name):__________________________________________ Spouse:_________________________________________________ Children:________________________________________________________________________ Church Address:__________________________________________________________________ _______________________________________________________________________________
Home Phone:______________________________________ (Cell Phone):____________________ E-mail:_____________________________________________________ Year of entry into Salem Presbytery:________________________________ Year in the field of Christian Education:_____________________________ Level of Education:____________________________________________ Specialty:________________________________________________________________________
Bring this form with you to the next Educator's Gathering or send to the Presbytery Office to the attention of Terry Roemer (mail: Salem Presbytery, P. O. Box 1763, Clemmons, NC 27012 or via fax: 336-766-7153).
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