MBKLA Facilitator Preparation Pre-Registration
Thank you for your interest in the MBKLA Facilitator Preparation pathway. This pre-registration form helps us understand your current leadership responsibility, prior teaching or facilitation experience, and readiness to complete MBKLA’s required preparation process. Submission does not guarantee selection or authorization to facilitate. Individuals who appear aligned with the pathway will receive information about required learning, assessments, practicum activities, feedback, and final authorization. MBKLA personally acknowledges submissions received Monday through Friday within one business day.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Mobile Telephone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City and State
*
Church, Ministry, Organization, or Professional Affiliation
Current Role or Leadership Responsibility
*
Have you completed any MBKLA course?
Yes
No
Currently enrolled
If yes or currently enrolled, identify the course(s).
Briefly describe your prior teaching, training, ministry, facilitation, or group-leadership experience.
Why are you interested in serving as an MBKLA facilitator?
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In which leadership settings do you currently serve or have relevant experience? Select all that apply.
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Church or ministry
Nonprofit or community organization
Education or training
Independent coaching or consulting
Business or professional environment
Other
Are you willing to complete all required preparation, assessments, practicum activities, feedback, and authorization requirements before facilitating?
*
Yes
No
Preferred communication method
Email
Telephone
Text message
Submit Pre-Registration
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