Assessment Lead Pastor

Tell us about yourself

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tell us about your spouse

Spouse Name*

First Last

Spouse Email*

Enter Email Confirm Email

Spouse Phone*

How long have you been married?*

Share a photo of you and your spouse or family*

Accepted file types: jpg, png, Max. file size: 5 MB.

Do you have children? If yes would you tell us either their names / ages or just ages of children. Whatever you are comfortable sharing.*

Please indication which date you in which would like to participate*

Fun Facts about you & your spouse

Tell us about you and your spouse...*

What do you do for fun? A fun fact about each of you, things you like to do, etc. We like details so do be afraid to over share.

Church / Church Plant Information

Church/Network Name*

Please tell us the name of the church you are actively engaging with for the role of Lead Pastor

Church/Network Location*

Church/Network website

What is your current role with in the church?*

If you are not currently employed by the church sending you to this assessment. Please indicate where you are currently employed and your role there.

Does your spouse currently hold a role in the church?*

If you answered yes, to the above, what role is your spouse currently holding? in the church

Tell us about your education and experience in church planting.

Education Information*

Please tell us about your education history; degrees held, schools graduated from, etc.

Have you attended seminary?*

Yes
No

Seminary Name, Location & Degree*

My church planting experience includes...*

List the Church information of the churches you have helped plant.

Tell us about the demographic profile in your previous ministries reach.

urban, rural, impoverished, 25-35yr olds, etc... describe the majority you reached

Explain the culture of the churches you worked in.

(ex: "come-as-you-are," laid back, formal, diverse, multi-cultural, traditional, etc.)

Payment Options

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GLI Assessment Center Couples Registration *

Price: $2,495.00

Cost does not include travel and transportation to the event. The attendee is responsible for all travel.

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Comments

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