DiscipleMaker 201 Application

Fall Registration is Now Open!

Leadership Cohort Application

Name

First

Last

Last

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Email

Mobile Number

Work Number

Church Details

Pastor's Name

First

Last

Church Name

On Staff at Church or Ministry

YES

NO

Church Address

Church Address

Church Address

Church Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Describe your ministry role(s) past & present

Describe your church's men's ministries (events, groups, studies, curricula etc.)

What (if any) discipleship training have you had?

What ministry goals do you hope the Cohort experience will address?

Membership Rules

This is a 6-month commitment and full participation is essential to the program. By signing below I am giving my time to the Leadership Cohort program.

Signature

Signature Date

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