Hannan Division - Recruitment Form

Directions: Please fill out all of the fields on the form. Someone will contact you within a week. Make sure you have parental permission before you submit your personal information, if you are under 13 years old please have your parents contact us. If you don't wish to send this information over the web, you can write a letter to the following address:

James M. Hannan Division
Redford Presbyterian Church
22122 West McNichols
Detroit, MI 48219

Request Type:

Full Name:

First Last

Age:

Address:

City:

State: Zip: -

E-mail:

Phone Number:

*Please Inlcude your Area Code

Comments:

	Privacy Act Statement: The information collected will not be sold or released to the public. It will be used for NSCC/NLCC recruiting purposes only. If you wish not to be contacted please send notice to the webmaster.