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Leadership Retreat
Candidate Interest Form

First Name

Last Name

Street Address

City, State, Zip

Email Address

Which church are you a member of?

Years of Service

Minstry Leader Phone Number

Telephone Number

Where do you serve?

Ministry Leader Name and Title

Ministry Leader Email

Why do you believe you are good candidate for M.L.A.M's Leadership Retreat?

What is your goal in attending M.L.A.M's Leadership Retreat?

How did you hear about M.L.A.M.? *

Website

M.L.A.M. Staff

Social Media

Network Referral

Family or Friend

Thanks for submitting!

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Mailing Address:

Makeesha L. Allen Ministries, Inc

5832 Lincoln Drive

Suite 326

Edina, MN 55436

Email: makeeshalallenministries@gmail.com

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