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Lake County Jail Ministry Logo

Did you know that LCJM entered into another video challenge? It is through:

The Super Service Challenge

https://superservicechallenge.com/Video

          and you can help – it takes just a few minutes! just copy and paste this link – or you could click on it.

When you get to the “Super Service Challenge” web page look for the search box in the upper right hand corner.             Type into that box :  

                           Lake Co Jail Ministry 

and click on the button in the search bar

You will go to our video page. On that you will see a video to click on…  watch all of the video and then click the  little word VOTE on your right hand side.

The contest is NOT about the quality of the video but how many votes it receives. You may only vote once in any 24 hour period. 

Thank you to Patrick Barnes for his cooperation and hard work producing the video this year with me. KM

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<h2>Pledge Form</h2>
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<h1><strong>Lake County Jail Ministry, Inc.</strong></h1>
CHAPLAIN Kenneth Hall  LCJM5kh@gmail.com

12920 Painesville-Warren Road
Leroy, OH 44077

EMAIL: LCJM5kh@gmail.com

Ministry to the Incarcerated Serving men and women in the Lake County Jail with the life-changing Gospel of Jesus Christ.</td>
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<h3>Donor Information (please print or type)</h3>
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<h4>Name</h4>
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<h4>Billing address</h4>
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<h4>City, STATE   Zip Code</h4>
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<h4>Phone 1 | Phone 2</h4>
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<h4>Fax | Email</h4>
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<h3>Pledge Information</h3>
I (we) pledge a total of $____________________ to be paid: ☐now ☐monthly ☐quarterly ☐yearly.

I (we) plan to make this contribution in the form of: ☐cash ☐check

Gift will be matched by (company/family/foundation) <u>                                                                                                         </u>

☐form enclosed☐form will be forwarded
<h3>Acknowledgement Information</h3>
Please use the following name(s) in all acknowledgements: <u>                                                                                               </u>

<u>                                                                                                                                                                                                                </u>

☐I (we) wish to have our gift remain anonymous.
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<h4>Signature(s)</h4>
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<h4>Date</h4>
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<h4><strong><span style="color: #000000;">Please make checks, corporate matches,</span></strong></h4>
<h4><strong><span style="color: #000000;">or other gifts payable to:</span></strong></h4>
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<h4>Lake Co. Jail  Ministry Inc.                       12920 Painesville-Warren Road
Leroy, OH 44077</h4>
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{copy and paste this to save and fill out. Mail to the address provided above}
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<h6>updated 11/2018 by KPM</h6>
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<h1><strong>Lake County Jail Ministry </strong></h1>
<h1><strong>Church or Group Volunteer                         </strong></h1>
<h1><strong>Application Form   </strong></h1>
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<td width="156"><strong>CHURCH INFORMATION </strong></td>
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<td width="156">Name</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td width="156">Address</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td width="156">Phone</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td width="156">Email</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td width="156">Pastor’s Name</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td width="156">Pastor’s Phone</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td width="156">Additional Contact</td>
<td colspan="3" width="468">____________________________________________________________</td>
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<td colspan="4" width="623"><strong>GROUP INFORMATION  </strong><strong> Please fill out group affiliation with the church</strong></td>
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<td colspan="4" width="623"><strong>Type of Group: </strong><strong>􀂆</strong><strong>Bible Study </strong><strong>􀂆</strong><strong>Prayer </strong><strong>􀂆</strong><strong>Men’s </strong><strong>􀂆</strong><strong>Women’s </strong><strong>􀂆</strong><strong>Missions </strong><strong>􀂆</strong><strong>Support </strong>

<strong>􀂆</strong><strong>Other: ___________________________________</strong></td>
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<td colspan="2" width="168"><strong>Name</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="2" width="168"><strong>Address</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="2" width="168"><strong>Group Leaders Name</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="2" width="168"><strong>Group Leaders Address</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="2" width="168"><strong>Group Leaders Phone</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="2" width="168"><strong>Group Leader Address</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="2" width="168"><strong>Additional Contact</strong></td>
<td colspan="2" width="456"><strong>____________________________________________________________</strong></td>
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<td colspan="4" width="623"><strong>                        </strong>

<strong>NOTIFICATION</strong></td>
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<td colspan="3" width="309"><strong>􀂉</strong><strong> Our church/group is praying for you </strong></td>
<td width="314"><strong>􀂆</strong><strong>In-Jail Ministry</strong></td>
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<td colspan="3" width="309"><strong>􀂉</strong><strong> Our church/group would like to have a speaker come to one of our meetings/services</strong></td>
<td width="314"><strong>􀂆</strong><strong>Individual Mentoring</strong>

<strong>􀂆</strong><strong>Ministry in Spanish</strong></td>
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<td colspan="3" width="309"><strong>􀂉</strong><strong> Our church has space to host a support group</strong></td>
<td width="314"><strong>􀂆</strong><strong> After care</strong></td>
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<td colspan="3" width="309"><strong>􀂉</strong><strong> Our church would like to facilitate a support group -Provide leadership</strong></td>
<td width="314"><strong>􀂉</strong><strong> Our church/group will host fundraiser </strong>

<strong>     Type of Event: ________________________________ </strong>

<strong>      Date of Event: ________________________________</strong></td>
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<td colspan="3" width="309"><strong>􀂉</strong><strong> Our church/group took a special offering for Lake County Jail Ministry</strong></td>
<td width="314"><strong>􀂆</strong><strong>Other: _____________________________________________________</strong>

<strong> </strong></td>
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<h3>Please copy and paste this form to a printable document ap. Fill it out and mail to</h3>
<h3>"Chaplain Ken Hall/ c/o Lake Co Jail Ministry, Inc ,</h3>
<h3>12920 Painesville-Warren Rd.</h3>
<h3>Leroy, OH 44077"</h3>
<h5>Thank you !Updated by kpm 11/2018</h5>