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LYLE III Application
Lutheran Youth Leadership Experience with Cross Trails Ministry
APPLICATION DEADLINE MARCH 1, 2021
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Personal Information:
First Name:
*
Your answer
Last Name
*
Your answer
Home Address
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Email:
Your answer
Phone Number
*
(xxx) xxx-xxxx
Your answer
Birthdate:
*
00/00/0000
Your answer
Age:
*
Your answer
Gender
*
Choose
Male
Female
Grade Completed (2021)
*
Which grade will you complete this year?
Choose
10th - Sophomore
11th - Junior
12th - Senior
Home Congregation:
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Pastor:
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Church's Phone Number
(xxx) xxx-xxxx
Your answer
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