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* 1. Please share your name and location:

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* 2. Please add your contact information:

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* 3. Please provide the information for the church or ministry interested in being the host where the workshop will be held.

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* 4. Please share any details on what group(s) are interested in bringing this worldview workshop to your community, and why.

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* 5. Please share your level of interest in hosting a Worldview Workshop:

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* 6. Please provide any additional details or notes regarding the host location, including any timelines, date requests, and other pertinent information.

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* 7. If applicable, please select the best word that describes the role of the Senior/Lead Pastor has in relationship to this workshop:

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* 8. Have you previously conducted any of the following:

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* 9. Have you previously hosted any event affiliated with Family Research Council or the Center for Biblical Worldview?

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* 10. If yes to the above, please share what event(s) you have hosted affiliated with FRC.

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* 11. Please note any additional information you'd like to share with our team.

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