LEAD Student Application 2020

Application

2020
You should see an email soon with a link in it. If you are interrupted for any reason while filling out the application, you can use that link to pick up where you left off.

Please fill out the application completely, answering each question. The application typically takes around one hour.
Cohort Application
Select when you would like to launch with a cohort
I am planning to start the LEAD Program in July of 2020. *

Yes No (If no, please close this application and go to the application for January of 2021)
If you are a part of The Alliance inside the United States, please select your district:
You can check your district location by going to: http://www.cmalliance.org/district
If you are a part of The Alliance outside the United States please select your country:
Home Information
Title
Full Name

First Name Middle Name Last Name
Name you prefer to go by:
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Preferred E-mail: (this is the email you will use through the entire program)

Program Connection
How did you hear about the LEAD Program?
Who, if anyone, recommended that you apply?
Church Ministry
Name of Home Church
Church Size
Number of Staff
Briefly describe your current involvement in ministry:
Are you Licensed / Ordained for ministry?

Yes No
If you are licensed / ordained where and by whom?
Denominational Affiliation
Are you currently under investigation/discipline by your church, denomination or civil authorities?

Yes No

Employment Experience
List all relevant employment history previous to current role (most recent first). Please include the following: Organization/ Ministry, Location,Position/Responsibilities, Dates
Education
Post secondary Education. Please include the institution where you studied, location, degree/major, graduation year
List relevant seminars or other training programs you have attended in the last 5 years:

Life and Leadership Story
Briefly describe your personal story of coming to faith in Jesus (Salvation):
Briefly describe your current journey with God:
Briefly describe your personal growth in your relationship with God in the last 5 years:

Briefly describe your personal disciplines in Physical, Emotional, Mental and Spiritual areas of life. (Things you do daily or weekly)
Why do you want to participate in LEAD?
Give an example of a leadership failure you have experienced in the last 12 months and explain what you learned:

References
Please complete the following section of references for your application into the LEAD program.
Pastor:

First Name Last Name
Church Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Pastor's Phone Number

Area Code Phone Number
Pastor's E-mail
Peer (a long-time close friend who is familiar with your leadership):

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
E-mail
Peer/Mentor (a long-time close friend who is familiar with your leadership):

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
E-mail
Spouse (if you are not married, someone from the opposite gender who is very familiar with your work and personal life):

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
E-mail (-)
Please note –

It is your responsibility to choose the above feedback group and to encourage them to return references and assessment feedback information as required.

Final Submission

Thank you for your interest in the LEAD Program. Please make sure your application is filled out completely before submitting. By clicking below, your application will be sent in for processing.
July 2020 Early Application Fee

Early Application fee of $29 will be available until March 31, 2020. The Regular Application Fee is $49 will apply from April 1,2020 until April 30,2020. This application will no longer be available on May 1,2020.

Application Fee *

Early Registration $ 29.00

Enter coupon

Total $ 0.00

Now create your own Jotform - It's free! Create your own Jotform

	Never	Rarely	Sometimes	Often	Regularly
I feel clear about my life purpose/mission
I have energy to meet the demands of my life
I am angry with my spouse
I feel energized by my work
I exercise at least 30 minutes a day
I am careful to eat a balanced diet
I have significant connection with God
I am easily irritated by others
I can't control my children
I have sexual problems
I make mistakes
Others would characterize me as angry
I feel abandoned by God
I have the same thought over and over
I am confused about life
I feel like hurting myself
I worry about having a nervous breakdown
I get really angry at times (ie. under stress)
I have thoughts about committing suicide
I get bored
I wonder if God hears me and answers
I have outbursts of anger
My feelings are often hurt
I use illegal drugs
I wonder if others are out to get me
I feel I lack close friends
My spouse is unhappy
I have significant problems at work
I have more that 1 drink of alcohol a day
I have financial stress
I need other people
I feel anxious or uptight
I feel guilty
I can't stop worrying
I don't enjoy life
I wish I could quit
It's hard to admit flaws in my life
I don't like to be touched
Others consider me a workaholic
My children are not doing well
I have failed to stop an addiction
I have little energy
I choose other priorities over self-care
I watch TV/movies 2-3 hours
I play computer games 2-3 hours

Application