English Language Ministry Registration

Church Information

Church Name *

Church Address *

Church City *

Church State *

Church Zip Code *

Ministry Leader’s First Name *

Ministry Leader’s Last Name *

Ministry Leader’s Phone *

Ministry Leader’s Email *

Do we have permission to share your information and your church’s information with other churches doing English Language Ministry? *

Yes

Would you like to be included on the ESL Newsletter Email List? *

Yes

Check all that apply

English as a Second Language (ESL)

Tutoring Children and Youth

Adult Literacy

Please briefly describe the English Language Ministry you are offering.