LTF Application Form 2024-25

Cohort Region* This field is required.

Email* This field is required.

example@example.com

Name* This field is required.

First Name

Last Name

Gender* This field is required.

Male

Female

Ethnicity* This field is required.

Asian/Pacific Islander

Native American

White (Non-Hispanic)

Black/African American

Hispanic/Latino(a)

Prefer not to answer

Other

Church Name* This field is required.

Church Location* This field is required.

City

State / Province

Country

Church Denomination (if applicable)

Academic Background* This field is required.Degree(s), Institution(s), etc.

Mailing Address* This field is required.For shipping of fellowship program books and materials

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Phone Number* This field is required.

Please enter a valid phone number.

How did you hear about the Center for Pastor Theologians?* This field is required.

Terms:* This field is required.

I commit to completing a survey at the beginning and end of the program.

Please note that acceptance into this local cohort is not complete until payment has been received.

Please click here (please open in a new tab) to make the $99 payment for your 2025-26 membership.

Contact Preferences:* This field is required.I would like to be added to the Center for Pastor Theologians mailing list.

Yes, please keep me informed of the CPT's work.

No, please do not send me these emails.

LTF Application Form 2024-25