*First Name:

Surname:

*Gender: -- Please Select -- Male Female

*Phone No.:

*School/Work: -- Please Select -- Graduate/Working class Nursing Mother Adekunle Ajasin University (AAUA), Ondo Adeseun Ogundoyin Polytechnic, Eruwa (AOPE) Ado Polytechnic, Ado Ekiti Bowen University, Iwo Covenant University, Ota D.S Adegbenro ICT Poly Itori, Ogun Ekiti State University (EKSU) FCE Akoka, Lagos FCE Osiele, Abeokuta, Ogun Federal Polytechnic, Ado-Ekiti FPI, Ilaro Poly, Ogun FUNAAB, Abeokuta, Ogun Federal College of Education, Oyo Federal University Oye-Ekiti, FUOYE, Ekiti Federal Polytechnic, Ado-Ekiti Federal Polytechnic, Offa, Kwara Federal University of Tech, FUTA, Akure Gateway ICT Poly, Saapade, Ogun Gateway ICT Poly, Itori, Ogun GLM children/teenagers/students Iwogia (brethren/students), Ogun Jesus House Teenagers Kebbi Brethren Kwara State Univeristy, KWASU, Kwara LASUSTECH (LASPOTECH), Lagos LASU, Lagos LASUED, Ijanikin, Lagos LAUTECH, Ogbomoso MAPOLY, Abeokuta, Ogun MEDILAG, Lagos MOCPED, Lagos NIJ, Lagos OAUSTECH, Ondo OGSCOTECH, Ogun OGITECH, Igbesa, Ogun OOU, Ago-Iwoye, Ogun OOU, Ayetoro, Ogun OOU, Ibogun, Ogun OOU, Sagamu, Ogun OOUTH Sagumu/Ikenne, Ilisan, Irolu, Ogun Obafemi Awolowo University (OAU), Osun OYSCATECH, Oyo State College of Agriculture, Igbo- Ora Rufus Giwa Polytechnic, Owo, Ondo School of Nursing, Ilaro, Ogun Sec Schools in Owode Idiroko TASUED, Ogun TASCE (SACOSTECH), Ogun The Lens Polytechnic, Kwara The Oke Ogun Poytechnic, Saki, Oyo UNILAG, Lagos UI, University of Ibadan UNILORIN, Kwara State YABATECH, Lagos

*GLM Member?: -- Please Select -- Yes No