YOKEFELLOWS • SHE WHO CARRIES • CREATOR OF CULTURES
Program Interest Questionnaire
SECTION 1: ABOUT YOU
Name
*
First Name
Last Name
Address
StreetAddress
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Website (type N/A if not applicable)
*
Social Media Handle (type N/A if not applicable)
*
SECTION 2 - YOUR LEADERSHIP CONTEXT
Which of the following best describes your current role?
*
Pastor or ministry leader
C-suite executive or senior organizational leader
Emerging leader
Team member within an organization or ministry
Marketplace leader or entrepreneur
Woman leading in the home
Other
How long have you been in your current leadership role? (Select one)
*
Less than 1 year
1 to 3 years
3 to 5 years
5 to 10 years
More than 10 years
Are you applying as an individual or as part of a team?
*
Individual
Part of a team
If you are applying as part of a team, how many team members would be joining with you?
*
2 people
3 people
4 people
5 or more people
SECTION 3 - PROGRAM INTEREST
Which program are you interested in? (Select One)
*
Yokefellows: A 12-week hybrid cohort experience for emerging leaders and teams learning to partner well and carry vision together.
Creator of Cultures™: For those called to build what outlives them.
She Who Carries: For the women entrusted with more than she speaks about. A discerned space for women carrying significant responsibility who are ready for depth, alignment, and strength.
I'm not sure yet. I need help discerning which program is right for me.
If you selected more than one program or are unsure, what drew you to explore these programs at this time?
*
SECTION 4: YOUR VISION AND CURRENT SEASON
What are you currently building, leading, or stewarding?
*
How long have you been carrying this vision or responsibility? (Select one)
*
Less than 1 year
1 to 3 years
3 to 5 years
5 to 10 years
More than 10 years
What is the greatest challenge you are currently facing in carrying it?
*
This is a safe space. Please be honest. Your response helps us understand where you are and what kind of support would be most meaningful.
Who is currently walking alongside you in this season?
This could include mentors, advisors, a team, a community, a coach, or no one. There is no wrong answer.
What has been missing from the support you have had access to up to this point?
What would it mean for you personally if you had the right support, formation, and community around what you are carrying right now?
SECTION 5: PARTNERSHIP CONTEXT
This section is specifically for those interested in Yokefellows.
This section is specifically for those interested in Yokefellows. Please confirm your interest.
*
Yes
No
Are you currently in a partnership or co-leadership relationship?
*
Yes. Actively bulding with a partner or team
Not currently, but I have been in the past
No. I am building alone and looking for the right partner or team
Not applicable.
If yes, what is the greatest challenge you are experiencing in that partnership right now?
*
Have you ever experienced a partnership or co-leadership relationship that fractured or ended poorly?
*
Yes
No
If yes, what do you believe was the root cause?
*
Your response helps us understand what formation would be most meaingful for you in Yokefellows.
What does healthy partnership look like to you?
*
On a scale of 1 to 5 how would you describe your readiness to invest in your formation and leadership development right now?
*
1
2
3
4
5
1 is , 5 is
Is there anything that would prevent you from moving forward with a program at this time?
Finances, timining, or other commitments. Your honest helps us serve you well.
If a payment plan is available, would that make participation more accessible for you?
Yes
No
I don't need a payment plan
Not sure yet.
SECTION 6 - CREATOR OF CULTURES™
This section is specifically for those interested in Creator of Cultures™. Please confirm your interest.
*
Yes
No
What are you currently stewarding that has led you to consider Creator of Cultures™
*
How would you describe the level of responsibility you are currently carrying?
*
Who currently has access to you at the level of your responsibility? Meaning who walks with you, covers you, and helps you carry what you've been given?
*
What does it mean to you that access to Creator of Cultures™ is discerned and not open?
Your response helps us understand your posture and readiness for this level of engagement.
SECTION 7 - SHE WHO CARRIES
This section is specifically for those interested in She Who Carries. Please confirm your interest.
*
Yes
No
What do you believe God is asking of you in this season?
*
Where do you feel unclear, stretched, or uncertain?
How would you describe your current capacity?
*
Stable and clear
Carrying well, but stretched
Overextended
Near depletion
What kind of support have you had up to this point?
*
Type option 1
Type option 2
Type option 3
Type option 4
What would meaningful support look like for you right now?
*
READINESS
On a scale of 1 to 5 how would you describe your readiness to invest in your formation, leadership development or building what outlives you right now?
Still exploring & gathering information
1
2
3
4
I am ready
5
1 is Still exploring & gathering information, 5 is I am ready
FINAL QUESTIONS
How did you hear about us or our programs? Select all that apply.
Social media - Instagram
Social media - Facebook
Social media - LinkedIn
YouTube - Rhonda Chaplin channel
Referral - please share who referred in the next field
Speaking event or conference
Website - rhondachaplin.com
Website - esthersrising.org
Website - favoredtogether.com
Other
If you were referred, please share who referred you.
Is there anything else you would like us to know about you, your vision, or your current season before we reach out?
This is your space. Use it however feels right.
SECTION 9 - AGREEMENT
I understand that all responses will be reviewed personally and that completing this questionnaire does not guarantee enrollment or admission into any program. I will hear back within 3 to 5 business days with next steps.
*
Yes, I understand and agree
I give permission to Rhonda Chaplin and the Shepherding Vision Transformation team to contact me via the email and phone number provided above.
*
Yes, I give permission
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