Jesus Disciple Network Application
About You
Leader First Name
*
Leader Last Name
*
Leader Name
First Name
Last Name
Co-Leader First Name (if applicable)
Co-Leader Last Name (if applicable)
Spouse Name (if applicable)
First Name
Last Name
Leader Email
*
example@example.com
Leader Phone Number
Please enter a valid phone number.
Leader Phone Number
*
City, State, and Country of Leader's Residence
*
About Your Ministry
What is the name of your ministry?
*
What is your proposed network name?
*
What is the size of your ministry?
*
Who is the primary audience of your ministry?
*
e.g. families residing in Southern CA
How long has this ministry been active?
*
How many years have you been the leader of this ministry?
*
What denomination or organization does your ministry associate with, if any?
*
Please provide us with the link to your website so we can familiarize ourselves with your ministry:
About Jesus Disciple
How did you hear about us?
*
How do you believe Jesus Disciple can help your ministry?
*
Submit
Should be Empty: