Lamp Post General Application
Please fill out this application to your best ability. Your contact information will be kept confidential. The Lamp Post is located at Oakdale Neighbors Kalamazoo SE Grand Rapids MI 49507.
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Email *
What is your first name? *
What is your last name? *
What is your birthdate? *
I would like to participate in or hear more information about : *
What is the primary contact's cell phone number? *
What is the primary contact's email address? *
Do you use any other form of contact? (Facebook, Whatsap etc) what is the app and name on the page?
What is your address?
What school does your child attend?
Is English a second languare for you?
Clear selection
What is your goal? How can we come alongside you to have success with that goal? *
What is one goal for serving in the community? *
I am available for classes or meetings: *
I have access to a computer:
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