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The CORE Host Application Contact Information       = required First Name   Last Name  Phone  Church   ext. Home  Daytime*  ext.   *if different from church phone Fax  E-mail  Site Information Church/Org.   Street Address   City   State/Province   Please select: . . . . . Other . . . . . Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces - USA/Canada Armed Forces - Europe Armed Forces - Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Island Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Island Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory other ...  Zip/Postal Code   Shipping Address (if different from Site Information) Street Address  City  State/Province  Please select: . . . . . Other . . . . . Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces - USA/Canada Armed Forces - Europe Armed Forces - Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Island Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Island Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory other ...  Zip/Postal Code  Mailing Address (if different from Site or Shipping Information) Street Address  City  State/Province  Please select: . . . . . Other . . . . . Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces - USA/Canada Armed Forces - Europe Armed Forces - Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Island Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Island Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory other ...  Zip/Postal Code  Site Details What is the nearest large city?   What is the travel distance/time to that city?   How far is your church from the airport?   Plenty of free parking?   Yes   No Room Details Room type: Room cap: Halogen lights? Sound system? Can room be darkened for video? Yes   No Yes   No Yes   No Yes   No Yes   No Yes   No Yes   No Yes   No Yes   No Miscllaneous Do you have a committed volunteer team?     Yes   No Briefly describe some of the past events you have hosted:

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