Cohort interest form
Thank you for your interest in participating in the church planting cohort. Please use this form to request participating in the next cohort.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you married?
*
Please Select
Yes
No
Wife's name
*
First Name
Last Name
Wife's email address
*
example@example.com
Do you have children?
*
Please Select
Yes
No
Please enter the names and ages of your children. If your wife is pregnant please include her due date month/year
*
Back
Next
Save
What is your home church?
*
Which Sov. Grace region is your church in?
*
Please Select
East Central
Lower Great Lakes
Mid-Atlantic
Mid-South
Midwest/Northwest
Northeast
South Central
Southeast
West
I don't know what region our church is in
Who is your sending pastor (who we can contact with questions)?
*
What is the timeframe you are hoping to plant a church in (month/year)?
*
Where are you hoping to plant a church (city, state)?
*
Participation in the cohort includes attending 3 in-person retreats (travel & lodging costs will be covered) and a monthly phone call September - May. Will you be able to commit to this?
*
Please Select
Yes
Unsure
No
If you are unsure or know that you are unable to commit to this, please give more details in the comment field below
Comments/notes
Save
Submit
Should be Empty: