MLC High School Student Information Request Form
Please note that only one entry can be submitted at a time. Thankfully, it goes quickly. To add another student, simply click "Submit." Thank you for your time and assistance in motivating young people to consider the public ministry. God’s richest blessings to you in your ministry!
Student First Name *
Please enter legal first name, not a nickname
Student Last *
Gender *
Address *
City *
State *
ZIP code *
Email address
Church name, city, and state *
This church has no members that are high school students
If your church has no members that are high school students, check the box and click on "Submit." Otherwise, skip this question.
High school name
Other information about this student
talents/gifts, interests, music, athletics, etc
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