Congregational Leadership Academy Application


This application form is to be completed by the team of persons you have selected to participate for your congregation.  When you have completed the items below, simply hit "send".  Your Tuition fee is due by December 31.  If you have any questions, please contact

Pastor Stan Meyer or Pastor Jane Mar.

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* Required information.
Congregation *
City *
State *
PASTORAL Team Member: Name, Phone, Email *
Team Member #2 (lay): Name, Phone, Email *
Team Member #2 - Leadership position in the congregation. *
Team Member #3 (lay): Name, Phone, Email *
Team Member #3 - Leadership position in the congregation. *
Team Member #4 (lay or rostered): Name, Phone, Email
Team Member #4 - Leadership position in the congregation.
Team Member #5 (lay or rostered): Name, Phone, Email
Team Member #5 - Leadership position in the congregation.
Why is your Leadership Team interested in participating in the Academy? (125 words max.) *
What does your Leadership Team hope to gain by attending the Academy? (125 words max.) *
How will your Team's participation be funded? *
By the congregation
By the participant
By another source
Are you requesting additional scholarship assistance -- why and how much?
OTHER Any additional comments or questions?
Northern Texas - Northern Louisiana Mission Area, ELCA
1230 River Bend #105 • Dallas, Texas, 75247
MissionOffice@ntnl.org • 214.637.NTNL (6865) • 214.637.4805 (Fax)
Copyright 2012

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