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Intro Questionnaire

This intro questionnaire is only for applicants who are not U.S. citizens nor able to legally  work in the U.S. If you fit this description, please fill out the below form completely.  Once you submit the questionnaire, we will review it and then contact you via the phone number you provide.

Name:

Personal Information:

Address:

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Church Information:

Mission Information:

Personal Evaluation:

Choose all that apply.

Please look over the application and try again

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The Uproot Collective

7875 NW 57th St #25375

Tamarac, FL 33351

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