Lay Training Committee Member Form

Please include the names, mailing addresses, phone numbers, and email addresses for the members of your Lay Training Committee.

**Please indicate which of them has agreed to be the convener of that group.**

Please leave this field empty.
Student Name (required)

Student Email (required)

Committee Convener (required)

Committee Member 1:

Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Email (required)

Committee Member 2:

Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Email (required)

Committee Member 3:

Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Email (required)

Committee Member 4:

Name

Street Address

City

State

Zip

Phone

Email

Committee Member 5:

Name

Street Address

City

State

Zip

Phone

Email

Committee Member 6:

Name

Street Address

City

State

Zip

Phone

Email

Committee Member 7:

Name

Street Address

City

State

Zip

Phone

Email

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