EMERGE™ FBL Application Form
EMERGE™ for Faith-Based Leaders is a leadership formation experience designed for individuals who are ready to grow both spiritually and strategically. This application helps us ensure alignment, readiness, and the integrity of the cohort experience.
Customer Details:
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
1. Organization / Ministry Name
*
2. Current Role / Title
*
Ministry & Leadership Experience
3. Please describe your current ministry, leadership, or service role. (Include your responsibilities, scope, and the people or communities you serve.)
*
4. How many years of leadership or ministry experience do you have?
*
0–2 years
3–5 years
6–10 years
10+ years
5. In what capacity have you led or influenced others? (Check all that apply)
*
Teaching / Preaching
Mentorship / Discipleship
Team Leadership
Organizational / Operational Leadership
Community Outreach
Other
If 'Other" selected, please specify:
Readiness & Intent
6. Why do you believe EMERGE™ FBL is the right next step for you? (What specifically are you looking to develop—spiritually and strategically?)
*
7. Describe one leadership challenge you are currently facing. (Be specific—this helps us understand how to support you.)
*
8. What do you feel is currently limiting your growth or impact as a leader?
*
9. What does “leading with conviction and clarity” mean to you in your current context? (Short reflection—this helps assess alignment with the program’s focus.)
*
Commitment
10. This program requires active participation, reflection, and application. Are you able to commit to the full duration of the program? (6 months)
*
Yes
No
11. Approximately how much time can you realistically commit each week?
*
1–2 hours
3–4 hours
5+ hours
12. What would success look like for you at the end of this program?
*
13. Is there anything else you would like us to know about your leadership journey, calling, or goals?
*
Submit
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