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 Another Response". Thank you for your time to complete this form and assistance in motivating young people to consider the public ministry.  God’s richest blessings to you in your ministry!
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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.
Student first name
Please enter legal first name, not a nickname
Student last name
Street address
City
State
ZIP code
Email address
High school name
High school graduation year
Clear selection
Other information about this student
talents/gifts, interests, music, athletics, etc
Submit
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