Lamplighters, Inc. Village Connect Form

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Lamplighters Inc. invites you to embark on an extraordinary journey by applying for our 2024-2025 Leadership Academy. This year-long mentorship and academic support program empowers young men with essential tools for Leadership, Academics, Maturity, and Perseverance.

Don't miss this opportunity to be part of something great that will shape your future. Completing our Leadership Academy is a prerequisite for full enrollment in our esteemed Lamplighters Program.

Email *

Person Completing Interest Form (Must Be Legal Parent or Guardian) *

Name of Applicant *

Current Interest in Program *

I am interested in my child joining the program

I am interested in volunteering/mentoring with the program

I am interested in being a donor/supporter for the program

Other:

Required

Phone Contact Information *

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