Leadership Engine Course ~ Application

Section 1 of 5
Ground Level Leadership Engine Course ~ Application

After section 1 ~ Continue to next section
Thank you for considering being part of the Ground Level Leadership Engine Training year.

Please complete this application form, as part of the application process we will be seeking a brief reference from your church leader (or connection leader if you are the current church leader). The reason for this is that we see the role of a local church mentor as core to the training year and so we want to ensure they are fully behind your application and will provide the support you require during the year.

We also ask that you outline how you are going to fund the course (whether your church are going to sponsor you or you are paying for it yourself). All payment plans (3 month) will be set up as 3 separate invoices.

Once this has been received and we have verified your application we will send out your first invoice.

We look forward to working with you over the coming year
Section 2 of 5

About You
Name :*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Address:*

Street Address

Street Address Line 2

CityCounty

Post Code
Contact Number:*
Email Address:*
example@example.com
Church Attended:*
Which Year of the course are you applying for?*

Year 1Year 2
Please outline your current leadership experience / roles in the local church:*
Please outline your previous leadership & theological Training (NB applicants for year 2 must have either completed year 1 or have equivalent prior training):*
Why would you like to be part of the leadership engine?*
How did you hear about the course?

Ground Level Leaders ConferenceGround Level TuesdayNational Leaders ForumOther Ground Level EventEmailSocial MediaChurch / Connection LeaderOther
Section 3 of 5

Reference Details
Reference name:*
Reference email:*
example@example.com
Section 4 of 6

Sponsorship
If your church are sponsoring you to do the course and paying for a certain percentage, and how much? All sponsorships will be checked with church leaders.
Are your church going to sponsor you?*

YesNo
If yes, please give the specified amount they are going to pay
Section 5 of 5

Sponsorship & Payment
This years fee for the course is £425 per person which includes course fees, launch weekend accommodation and catering and input days catering. A £25 reduction is available for those sharing a room at the launch weekend. Please tell us how you intend to pay for the course and if some of your fees are being covered by a sponsor.

Please note if for any reason your application is unsuccessful we will refund any deposits in full. A copy of the cancellation policy for the course can be viewed here
Please tell us which fee option applies to you*

£425 - Single Occupancy£400 - Double Occupancy
How are you going to pay for the course?*

Payment plan (Deposit must be paid now then 2 payments (less sponsorship) due October & December by invoice)Payment in fullNot Applicable (Full sponsorship applications only)
My Products*
prevnext( X )
Ground Level Leadership Engine Deposit
£100.00



Ground Level Leadership EnginePayment in full (Single Occupancy)
£425.00



Ground Level Leadership EnginePayment In Full (Double Occupancy)
£400.00



Ground Level Leadership EngineFully Sponsored places only
£ Free



Total

£0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Section 1 of 5

Ground Level Leadership Engine Course ~ Application

Section 2 of 5

Section 3 of 5

Section 4 of 6

Section 5 of 5