Breakaway 2010

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Workcrew Application

Please complete the information below and we will be in touch soon.

Name:

Address:

Phone:

Cell:

College:

Year:

Have you been to Breakaway before?

If Yes, how many years?:

What church?:

The main reason you want to come to Breakaway and be part of the Work Crew:

Personal Testimony (More about what God is doing in your life now than from the beginning):

Major Strengths:

Things you like to do:

Any Weaknesses:

Things you do not like to do: