Lightwell Insurance Advisors of AL/KY/TN

Accreditation - Church Contact

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Reason for Contact*

Name*

First Last

Email*

Phone*

Organization Name*

Tell us about your Accreditation question

Primary Location*

Street Address City State / Province / Region ZIP / Postal Code

Website*

Type of Ministry*

Select all that apply

Church

School

Camp

Other

Number of Subsidiary Entities*

This is any additional ministries you operate

Number of Campuses*

The ministry campuses/locations within your legal entity.
Include the locations of any additional ministries you operate.

Leave blank if not applicable.

Church

Average weekly total attendance at your campuses, including adults and minors.

School

Total annual enrollment in the past full academic year.

Camp

Average annual number of minor participants, based on the past two years.

Other

Annual number of minor participants, based on the past two years.

Denomination or Network Affiliation (If any)*

Head of Ministry Name and Title*