Jackson Global Initiative - Online Registration Form

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JGI Council Registration/JGI Leadership Development Program Registration Through JGI Organizations: U.S. Institute of Buisness Diplomacy & Law, United Nations Chaplains, and Daniel Company Alliance

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First Name: *

Last Name: *

Company/Organization (if applicable):

E-mail address: *

Telephone/fax: *

Address: *

I am a seasoned entreprenurial/government leader seeking to join the JGI Leadership Council

I am under the age of 30 and would like to join the NextGen Leadership Development- Mentoring Program

I am interested in serving in non-profit domestic missions

I would like mentorship to launch/grow my ministry

Please notify me of your business and law educational events distribution list

Please notify me of your ministry-related events

Explain your interest in being develop by Dr. jackson and the JGI: *

Explain your current areas of focus i.e. Community Redevelopment, Business *

Provide insight on your accomplishments/initiatives *

Provide insight on your background serving as a spiritual or non-profit leader, as applicable *

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I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

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