Language
English (US)
Spanish (Latin America)
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
*
Married
Single
Divorced
Separated
Widowed
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
Submit
Should be Empty: