Urban Church Planters Cohort 2024/25 Application Question Title * 1. Lead Pastor's Name Question Title * 2. Spouse/Co-Pastor's Name Question Title * 3. Church Name Question Title * 4. Church's Address Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Question Title * 5. Lead Pastor's Email Question Title * 6. Spouse/Co-Pastor's Email Question Title * 7. Lead Pastor's Cell Phone Question Title * 8. Spouse/Co-Pastor's Cell Phone Question Title * 9. Date You Planted the Church Question Title * 10. Current Average Attendance Question Title * 11. Please indicate if your church is affiliated with a denomination or network? Question Title * 12. Where does your church currently meet? We Have a Permanent Building School Theater Event Space Restaurant Home Other (please specify) Question Title * 13. Please share your and your spouse's bio Question Title * 14. Provide a summary of your church planting journey (include your church's vision, location in the city, demographic you are reaching, and any information that would be helpful for us to understand your ministry context and situation) Question Title * 15. What are your biggest leadership, church, or urban context challenges? Question Title * 16. What are the top four leadership topics you want to learn about? Raising Funds Guest Assimilation System Preaching & Sermon Series Planning Discipleship Staff & Team Development Creating and Casting Vision Creating a Healthy Culture Business as Mission City Outreach Strategy and Execution Personal Growth Planning Other (please specify) Question Title * 17. Are you and/or your spouse able to attend the 9 monthly 90-minute coaching Zoom calls (typically Thursdays at 1:00 pm CST - September - May). Yes No Other (please specify) Question Title * 18. Are you AND your spouse able to attend the experience in Washington D.C. Wednesday, October 16 - Friday, October 18, 2024? Yes No Other (please specify) Question Title * 19. Are you able to pay the $495 Cohort Registration Fee and Flights for you and your spouse to Washington D.C. on October 16-18, 2024? Yes No Other (please specify) Question Title * 20. Please upload a current photo of you and your spouse (one photo together) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a current photo of you and your spouse (one photo together) Question Title * 21. What questions do you have about the Urban Church Planters Cohort? Question Title * 22. I understand that if we are accepted to the Urban Church Planters Cohort, at least one of us will be expected to participate in the monthly coaching Zoom calls AND both of us will participate in the Washington D.C. experience. We understand that our $495 registration fee will be due within 21 days of acceptance to the cohort. In addition, I understand I am responsible to purchase mine and my spouse's flights to Washington D.C. for the event on October 16-18, 2024. If for any reason the cohort was cancelled, your registration fee will be fully refunded but your flights to Washington D.C. would be your responsibility. Please indicate your agreement with your first and last name in the box below. Done