Name (required) Have You Completed the Training Program (video and workbook—required) Yes Mailing Address (required) City (required) State (required) ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDCDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code (required) E-mail Address (required) Primary Phone (required) Secondary Phone/Cell Name of Church You Attend Current Ministry Participation Are You a Prison Ministry Leader? If Yes, How Many Years? Name of Prison Currently Ministering (if applicable) Approximate Number Attending (if applicable) Name of Juvenile Detention Center Currently Ministering (if applicable) Appoximate Number Attending (if applicable) Are You Currently a Pen Pal? YesNoI want to become a Pen Pal Are You Currently a LAMB Participant? If Yes, How Many Children? Are You Correcting Bible Studies? YesNo Please leave this field empty. Form cannot be submitted without acknowledgement of training completion, above.