Apply for LEAD

Personal Information
Full name:    
Spouse’s name:    
Spouse’s age:  
Spouse’s email:  
Children: Name, Age
Type of address:  
Ministry Information

This application is used to familiarize the LEAD coaches and staff with you and your family; please attach a picture. For this process brief, yet concise answers are sufficient. Upon acceptance into the LEAD program, you will be sent a more detailed packet where you will have opportunity to elaborate on the following aspects of your ministry and family life.

Your title:  
Current ministry:  
Ministry activity: Give a brief description of your ministry’s activity: (max 600 characters)
Employment history: List and briefly describe your employment history: (max 1800 characters)
Educational background: Please list your educational background: (Degree, field of study, Institution)
Primary responsibilities: Briefly describe 3-4 primary responsibilities in your job: (max 1800 characters)
Major decisions: What are several major decisions or changes you have made within the past six months to two years? (max 1800 characters)
Career goals: Describe your future career goals: (max 1800 characters)
Obstacles: What are the greatest obstacles to achieving your goals? What are some personal problems you are attempting to solve and some approaches you have taken to tackle them? (max 1800 characters)
Hope to gain: What do you hope to gain from your LEAD experience? (Complete the sentence: LEAD will be successful for me if...) (max 900 characters)
Hear about LEAD: How did you hear about LEAD? (max 900 characters)
LEAD date: Please indicate the LEAD date you are interested in attending:
Payment Options

A $500 deposit is due before your application will be accepted. Please complete the payment section below. The remaining balance of $3,500 will be due one month prior to your specific LEAD date.

Payment type:
Payment amount:  
Enter amount:  
(Numbers only, no commas or dollar signs)
(Use this field only if payment amount isn't selected above.)
Name on card:  
Card type:
Card number:  
(Numbers only, no spaces or dashes please)
CCV code: