Personal Information
Date
-
Month
-
Day
Year
Date
Name
*
Email
*
Phone
*
Membership Status
*
Please Select
Non-Member
Member
Years Attending NLCC
*
Campus
*
Please Select
Walnut Grove
Yorkson
Preferred Service
*
9:00 AM
11:00 AM
Ministry Information
Describe your participation at NLCC
*
Describe your previous prayer training and experience
*
References
Please provide the name and contact information for your pastor, small group leader and leader of any ministries in which you have served.
Name
Phone Number
Email
Name
Phone Number
Email
Name
Phone Number
Email
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