Pastor David Blunt’s Leadership cohort ApplicationInterested in Pastor Blunts Leadership Cohort? Step 1 is to complete this application. Name * First Name Last Name Email * Phone (###) ### #### Age Range 25-34 18-24 35-44 Option 4 City, State Occupation / Job Title Organization / Church Affiliation LEADERSHIP CONTEXT Where do you currently serve or lead? What is your current leadership role or responsiblity? How many years have you been in a leadership role? <1 year 1-3 years 4-7 years 8+ years What best describes your current leadership setting? Church / Ministry Business / Marketplace Education Nonprofit / Community Other (please specify) MOTIVATION AND FIT Why are you interested in joining this Leadership Cohort? What do you hope to gain from this experience? Which of the three core focus areas are you most eager to grow in? Grit & Resilience Mindset & Vision Practical Leadership Application Are you willing to commit to the full 12-week experience including all sessions and assignments? Yes No SPIRITUAL ALIGNMENT Describe your personal relationship with God. What role does faith play in your leadership? FINANCIAL INFORMATION The cost of the cohort is $1,200. How do you plan to cover this? I will pay in full up front I need a payment plan I’d like to apply for a scholarship Would you like to be considered for a scholarship? Yes No AGREEMENT & SUBMISSION Please click on both boxes as a sign of commitment. I understand the time, financial, and spiritual commitment involved and am ready to grow as a leader. I certify that the above information is true and complete. Signature (Typed name) First Name Last Name Date Thank you!
