STUDENT LITERATURE EVANGELIST APPLICATION Laisser ce champ videLaisser ce champ videLaisser ce champ vide * Champs obligatoires REGISTRATION FORM Name / NomPremierDernier Sex / Sexe Male / Homme Female / FemmeMarital Status / État Matrimonial Single MarriedName of Spouse if Married / Nom du conjoint Si vous êtes marié Age Bracket / Tranche d'âge Below / Moin de 15 15 - 20 21 - 25 Above / Plus de 26 Place of Birth / Lieu de naissanceResidential Address / Adresse de résidenceAdresse 1Adresse 2VilleSelect a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin WyomingEtatCode postalPays Whatsapp Number / Numéro WhatsappEmailName of your School / Nom de votre établissementSchool Id Number / Numéro d'identificationFaculty / FacultéCourse of Study / Filière suivieResidence / RésidenceSchool Registrar Approval Number / Numéro d'agrément du registraire scolaire **Student Development Approval Number / Numéro Approbation du responsable de développement de l'étudiant Spiritual Life Approval Number / Numéro d'approbation du responsable de la vie spirituelle Sale Approval Number / Numéro d'agrément de vente**Have you Canvassed Before? / Avez-vous déjà fait du Colportage? Yes / Oui No / NonWere You Owing Any Conference - Union? / Est-ce que vous devez de lárgent a une federation / Union? ** Yes / Oui No / Non If Yes, Name of the Conference / Union - Si oui, nom de la Fédération / UnionState - Region Of Origin / État - région d'origineL.G.A / DistrictHome Town / Ville natalePlace of Baptism / Lieu de baptêmeDate of Baptism / Date du baptêmeyyyy/mm/ddBaptized By / Baptisé parCurrent Place of Membership / Lieu d'adhésion actuelConference / FédérationUnion Cameroon Union Mission Central Africa Union Mission Eastern Nigeria Union Conference Southern Ghana Union Conference Northen Ghana Union Conference Eastern Sahel Union Mission Western Sahel Union Mission Western Nigeria Union Conference Northen Nigeria Union Conference West Africa Union Mission UNION / CONFERENCE OF CANVASSING 1st Choice / 1er choix2nd Choice / 2e choixCountry of Choice / Pays de choixGuarantor's Name / Nom du garantEmail Guarantor's/ Email du garantGuarantor's Address / Adresse du garantAdresse 1Adresse 2VilleSelect a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin WyomingEtatCode postalPays Whatsapp Number / Numéro WhatsappI, (STUDENT)……………………………………………………………….... HEREBY PLEDGE TO ABIDE BY THE RULES AND REGULATIONS GOVERNING CANVASSING AS STATED IN THE SALE CONSTITUTION WHEREVER I WILL BE CANVASSING. IF I DEFAULT IN ANYWAY, MY REPORT SHOULD BE SENT TO MY SCHOOL AND MY GUARANTOR. STUDENT SIGN.: ……………………… ………... DATE: ……………………… ………... GUARANTOR SIGN.: …………………………... DATE: ……………………… ………... PLEASE NOTE 1. Your name and that of your guarantor on this form stand as signature. 2. **Are compulsory fields. Your form may not be approved if you do not fill these. 3. Registration for 2021 summer canvassing closes April 30, 2021. 4. Ensure you get a letter of invitation from your host before setting out to your canvassing location. 5. Students (SDA) from non-Adventist institutions are welcome under special arrangement.