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KAIROS TEAM APPLICATION

KAIROS, INC., MAINE DISTRICT

Name:
Address:
City:
State:
Zip:
Phone:
Email:
State DL #:
Soc. Sec. #:
Sex: (circle) M F | Race: (circle) W B H Other
I attended Cursillo / Emmaus / Via Cristo. At:
I am active in Church.
Are you active in a share and prayer group? Yes No
AGREEMENT

As a faithful member on a Kairos team:

1. I obligate myself to attend monthly reunions with the residents who have joined the Kairos community for a period of one year.

2. I will obtain a current Kairos Manual and be familiar with my responsibilities as presented therein.

3. I will make every effort to attend all team meetings.

4. After becoming familiar with the program, I agree to support in good faith the activities done on the weekend, as well as the theological arid scriptural content of the talks, as outlined in the Kairos manual.

5. I will abide by all State and Institutional rules and procedures required as a condition of our entry into the Institution.

6. I will abide by the rule of confidentiality as set forth in the Kairos manual.

I understand that this application will be checked by the Maine Department of Criminal Justice for outstanding warrants in Maine and the U.S.

Signature   Paster of Applicant: