Constance Caraway P.I.
APPENDIX B
LIBBYITE NOMINATION FORM |
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Contact Information
| Name or Nickname | |
| Street Address | |
| City State | |
| Home Phone | |
| Work Phone | |
| Emergency Contact |
Availability
During which hours are you available?
| Weekday mornings | Weekend mornings |
| Weekday afternoons | Weekend afternoons |
| Weekday evenings | ON CALL 24 HRS/365 DAYS (recommended) |
Volunteer Opportunities
Tell us in which areas you are interested in volunteering
| Libby Security |
| Scientific Support |
| Monastery Grounds Care |
| Carriage Driving & Horse Groom |
| ___ Exorcism and Demonic Spells |
| Billy Graham Evangelistic Phone Bank |
| Stewardess for The Blue Ridge Angel |
| Libbyite Lifetime Membership Recruitment |
Special Skills or Qualifications for Combating evil
Summarize special skills and qualifications, i.e. Integrity, Character, and Courage.
Previous Evangelistic Experience
Summarize your previous experience with spreading THE WORD of GOD.
Qualifying Libbyite Quiz
| **What is the name of the Village Willard Libby lives in? | |
| **What is the name of the nurse who took care of W.L. at Elgin State Hospital? | |
| **How is Sister Mary Joseph related to him? | |
| **Name the university he works for: | |
| **What is the Atomic Number for carbon? | |
| **Definition of the word “catatonic”: |
Agreement and Signature
Do you the undersigned agree to uphold the science behind Radiocarbon Dating, its principles and outcomes, while acknowledging that the Universe is a divine creation, not some big-bang tub of primordial goo that came together by accident?
| Name (printed) | |
| Signature | |
| Date |
Libbyite Inclusion Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, national origin, gender, sexual preference, age, disability or religion (unless you are an atheist, in which case: TOUGH LUCK!)
Thank you for completing this application form and for your interest in joining the Cause for Creation.
Constance Caraway P.I.
Forever Mastadon
