Please complete the form below. Please note that the Churches United Leadership Academy Training is open to individuals who are members of churches that are a part of Churches United.

    Your Information
    Please type in each answer; do not use autofill to fill in the form.

    Your Ministry Title (Elder, Minister, Evangelist, Deacon, etc.): *

    First Name: *

    Last Name: *

    E-mail: *

    Cell Phone Number: *

    What ministry leadership position(s) do you hold (Choir Director, Usher President, Men's Ministry President, etc.)? *

    Your Senior Pastor's Information

    Pastor's Title (Pastor, Bishop, etc.): *

    Pastor's First Name: *

    Pastor's Last Name: *

    Your Church's Information

    Church Name: *

    Street Address: *

    City: *

    State / Province: *

    Zip: *

    Country: *

    Is your church a member of Churches United? *