Spiritual Academy for Leading Transformation- Pastor's Form

THIS IS THE PASTOR'S FORM FORM FOR PARTICIPANTS. Please fill out this form completely and accurately. One application is needed for each applicant. 

This is for use by the YADKIN VALLEY DISTRICT.

Pastor's Information

*First Name
*Last Name
*Preferred Name
*Address 1
*City
*State
*Zip
*Phone
*Email
*Church Name
*Cell Phone Number
*Race/Ethnicity
African American
Asian
Caucasian
Hispanic
Native American
Other
*Gender
Male
Female
*Name of person you are recommending for SALT

Participant/Pastor Questions

*Are you willing to commit to the SALT time frame - September through April involving periodic consultations with pastor, participant, and SALT facilitator(s)?
Yes
No
*Are you willing, if applicable, to free participant from church leadership duties for a season in order to commit fully to SALT?
Yes
No
*Are you willing to work with participant and church to meet the tuition cost of $200?
Yes
No

Short Answers- Less that 100 words

*Describe the leadership ability or potential you observe in this person.
*What is your view of a healthy laity/clergy relationship?
*What is your hope for this person through his/her participation in SALT, especially as it relates to a specific leadership challenge in church/community?
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