Real Life Christian Communities

Where the presence, power and purpose of Christ are fulfilled in and through each one

L. E. A. D.
Leadership Empowerment and Development Program
APPLICATION FORM
Chosen Track: ‰ ‰ ‰ ‰
1 2 3 4
Level Goal: __ __ __ __

Personal information:
First Name: ________________________________ Birthday: Month ______ Day ____ Year ______
Last Name: ________________________________ Nickname: _____________________________
Cell phone(s): ______________________________ Phone: _____________ Fax: ______________
Email Address: _____________________________ Website: _______________________________

Spouse (if any):

Name: ____________________________________ Birthday: Month ______ Day ____ Year ______
Cell phone Number: _________________________ Phone: _____________ Fax: _______________
Does your spouse know and approve of your decision to apply in this program? ˆ Yes ˆ No

Please answer the following questions truthfully:

‰ How long have you been attending RLCC? _______ Are you a Covenant Member? ˆ Yes ˆ No
‰ Are you now ready to take responsibility for your own spiritual growth? ˆ Yes ˆ No
‰ Do you have the time to meet with a mentor at least twice a month? ˆ Yes ˆ No
‰ Are you willing to receive feedback or even correction from your mentor? ˆ Yes ˆ No
‰ Are you willing to set and accomplish your developmental goals? ˆ Yes ˆ No
‰ Are you willing to accomplish tasks or assignments given to you by your mentor? ˆ Yes ˆ No
‰ Are you willing to prioritize your L.E.A.D. training even if it means certain sacrifices? ˆ Yes ˆ No
‰ Are you willing to be referred to another mentor just in case? ˆ Yes ˆ No
‰ Are you willing to be honest with your mentor so that he or she can help you grow? ˆ Yes ˆ No
‰ Are you willing to mentor another person when the time comes? ˆ Yes ˆ No
‰ Do you still have vices? ˆ Yes ˆ No hidden sins? ˆ Yes ˆ No major strongholds? ˆ Yes ˆ No
‰ If accepted, what day and time would you be available for mentoring? ________________________

Signature and date of application ˆ approved ˆ disapproved by:

_________________________ ___/___/______ _________________________