LLJSLI Application Form

  • Student Information

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Parent Information

  • Reference

    Please provide a personal reference (adult age, non-family member):
  • By submitting this form, I agree that if I am selected as a Board Member for the Live Like John Service and Leadership Institute, I will do my best to make all Board meetings and participate in other Board related activities. (If application is accepted, Live Like John will verify parental consent.)
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e: [email protected]
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