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LTO Personal Info and References Form

"*" indicates required fields

Personal Information

Thanks for applying to LTO! On this form you will be asked to provide personal information and a list of references. An email with a reference form will automatically be sent to the references you provide.
Full Name*
Address*
Max. file size: 2 GB.
If you have trouble uploading an image, please email your picture to: [email protected].
Gender*
Marital status*
Spouse
Will you be bringing children with you? Please note, if any of your children are taking LTO as students, do not list them here but have them work through the application process.

Parental Reference

Parents*
Email (parents)*
Important: Make sure email is correct. Reference form is automatically sent to this address.

Pastoral Reference

PASTOR*
Email (Pastor)*
Important: Make sure email is correct. Reference form is automatically sent to this address.

Youth Pastor Reference

YOUTH PASTOR (If not applicable, please enter a friend or mentor)*
Email (youth pastor)*
Important: Make sure email is correct. Reference form is automatically sent to this address.

Employer Reference

EMPLOYER (If not applicable, please enter a friend or mentor)*
Email (employer)*
Important: Make sure email is correct. Reference form is automatically sent to this address.

Friend Reference

FRIEND*
Email (friend)*
Important: Make sure email is correct. Reference form is automatically sent to this address.

NOTES:

1. Only click "Submit Form" once. Submission may take a few minutes depending on the file size of your profile picture.

2. When you click "Submit Form", a reference form will automatically be emailed to the references you listed above. Please ensure that the email addresses you provided are correct and current.

3. After clicking "Submit Form". You will be directed to 
Step 2: The Application.

If you have questions or technical difficulties, feel free to call Jesse Slabaugh at 717-715-2030

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Contact us

93-28 Corona Ave.
Elmhurst, NY 11373
[email protected]
717-715-2030

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