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

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?

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?

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).

Question Title

* 18. Are you AND your spouse able to attend the experience in Washington D.C. Wednesday, October 16 - Friday, October 18, 2024?

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?

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

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.

T