City Lights Leader Application

First Name

First Name is required.

Last Name

Last Name is required.

Email

Email address is not valid

Email is required.

Phone

Phone is required.

Birth Date

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2074 2073 2072 2071 2070 2069 2068 2067 2066 2065 2064 2063 2062 2061 2060 2059 2058 2057 2056 2055 2054 2053 2052 2051 2050 2049 2048 2047 2046 2045 2044 2043 2042 2041 2040 2039 2038 2037 2036 2035 2034 2033 2032 2031 2030 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Birth Date cannot be a future date.

Gender

Male Female

Gender is required.

Street 1

Street 1 is required.

Street 2

City

City is required.

State

AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AB BC MB NB NL NT NS NU ON PE QC SK YT

State is required.

Postal Code

Postal Code must be between -2147483648 and 2147483647

Postal Code is required.

Volunteer Positions

1. SB City Lights Story Team
Story team members, through video, social media and writing, journal and catalogue the experience of how City Lights affects our community.

2. SB City Lights Event Team
Event teams love to plan a party and bring people together. This team will coordinate city gatherings and service projects.

3. SB City Lights Prayer Team
Prayer team members are prayer warriors. This team discovers and monitors the prayer needs of their city and prays accordingly.

Choose a volunteer position

SB City Lights Story Team SB City Lights Event Team SB City Lights Prayer Team Undecided

Choose a volunteer position is required.

Interested in being a leader for one of these teams?

Yes No

Interested in being a leader for one of these teams? is required.

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