CSOSA/Faith Community Partnership
Mentor Orientation Registration

I will attend the CSOSA/Faith Community Partnership Mentor Orientation Session on February 7, 2002, at 6:30 p.m. at the Israel Baptist Church, 1251 Saratoga Avenue, NE, Washington, D.C.

Your e-mail address:

Subject:

Name:

Address (Line 1):

Address (Line 2):

City, State, Zip Code:

Telephone:

Church Affiliation (required):

Comments: