Start a Life Christian University Bible School

Your Full Name
Mailing Address 1
Mailing Address 2
Home Phone Number
Cell Phone
Email Address
City
State:
Zip
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                          Information About Your Church or Congregation Affiliation

Name of Church/Congregation
Denominational
Affiliation
Mailing Address 1
Mailing Address 2
City
State:
Zip
Country
Senior Pastor
Church/Congregation Phone
Are you a licensed or ordained minister?
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Licensing or ordaining organization:

Why are you interested in starting a Bible School
   

Add Additional Comments Here
Once we receive your completed application, we will contact you to confirm your interest and to verify if you qualify for a LCU Bible School in your area.

Thank you for your interest - Jack Myers Ministries a LCU Affiliate Ministry.
Click this button only once. If you have problems getting this form to work, please print it and fax to 708-283-2326.