Church Planting Collective Application

Church Planting Collective Application

Please fully complete the application. Please email brennandavis@cclasvegas.org if you have any questions about this application.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Gender *

Male Female
Date of Birth *

Month Day Year
Date
HIGHEST LEVEL OF EDUCATION *
Would you be attending in-person or online?

in-person online
Will you need the course in English or Spanish?

English Spanish
Are you committed to attending the 12 week program?

Yes No
Will you make a commitment to pray about an internship after the 12 week program?

Yes No
Would you like to be a church planter or part of a church planting team?

church planter church planting team
ANY EDUCATIONAL CHALLENGES *

Yes No
Please list any previous ministry experience
What gifts/talents do you have?
Emergency Contact *
DO YOU REGULARLY ATTEND A CHURCH *

yes no
Which church?
What is the pastor's name?
Marital Status *
Tell us what biblical church planting means to you: *
Personal Testimony (Minimum of 200 words) *
Tell us your story : what is your relationship with Jesus like, describe your faith journey, and your growth in the past year
Tell us about your calling to church planting? *
What are some possible places you would like to plant?
Reference 1 *

First Name Last Name
Reference 1 Email *
example@example.com
Reference 1 Phone Number *

Area Code Phone Number
Reference 2 *

First Name Last Name
Reference 2 Email *
example@example.com
Reference 2 Phone Number *

Area Code Phone Number
Should be Empty: