LLI Student Interest Form

Thanks for your interest in attending Lift Leadership Institute. We are an Institute (branch from Lift City Church) that serves all age groups. We train future leaders and develop skills in present leaders in areas of leadership, servant-hood, and ministry in whom there is a heart to serve people.

Please fill out the form if you are interested in:
1. Becoming a student at the Lift Leadership Institute
2. Auditing a class
3. Serving in the Institute (LLI)
4. Finding out more information about our programs
5. In need of tutoring
6. Becoming a part of the Training Young Leaders Program

*You may fill out more than one form for each interested individual.

Name

Last Name

What is your gender What is your gender Female Male Prefer Not To Say

What is your race or ethnicity? What is your race or ethnicity? African-American or Black Asian Caucasian Chinese Indian Japanese Latino or Hispanic

What is the age range of the interested party? What is the age range of the interested party? 4-10 11-15 16-18 19-25 26-35 36-45 45 or older (wiser)

What is your phone number?

Email Address

How can we be of assistance to you? How can we be of assistance to you? Becoming a student at the Lift Leadership Institute Auditing a class Serving in the Institute (LLI) Finding out more information about our programs In need of tutoring Other

How did you hear about us? How did you hear about us? Word of mouth TV sponsors/Commercial Social media Poster or Flyer Radio Community Calendar Other

What is the best time to contact you? What is the best time to contact you? Morning Afternoon Evening

Anything else you would for the LLI team to know?

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Name

Email Address

Message

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Get in touch with us

123 Carmel Drive
Lafayette, LA 70501

(337) 944-4122
leadershipinstitute@liftcityleaders.org