THE NXT LEADERSHIP ACADEMY
REGISTER TO JOIN THE 2025-26 COHORT! #IAMNXT2LEAD
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Date of Birth
*
/
Month
/
Day
Year
Gender
*
Male
Female
Program Tier You Want to Sign Up For:
Tier I: Leader Foundations ($199)
Tier II: Leader Formation ($499)
Tier III: Leader Residency ($1,500)
T-Shirt Size
*
Small
Medium
Large
XL
XXL
Are you currently:
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In School
Working
Taking a gap year
Figuring it out 😅
Describe your relationship with Jesus:
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New & Growing
Strong & Steady
Needs a spark
Not sure where I'm at
Are you part of and serve at a local church?
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Yes
No
Yes, but I don't serve
What areas are you wanting to grow in? (Select top 3)
*
Communication & Public Speaking
Faith & Ministry
Relationship Development
Conflict Resolution
Time Management & Organization
Spiritual Disciplines
Mental & Emotional Health
Evangelism & Outreach
How to Study the Bible
Identity & Calling
Building and Leading Healthy Teams
Vision Planning & Goal Setting
How To Make Better Decisions
Building Trust & Credibility
Developing Confidence as a Leader
Mentorship & Discipleship
Other
Why are you interested in the NXT Leadership Academy?
*
What would you say are your strengths and weaknesses?
*
What do you hope to get out of the program?
*
Anything else we should know about you?
Comments, questions, etc.
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