Impact Application Form
This form is to be completed by applicants who wish to be considered for the ChristCentral Churches Impact programme

A copy of our publicity leaflet showing an IMPACT OVERVIEW and the FEES is available to view at

If you have any problems completing this form please email:

ChristCentral Churches collects the information requested in this application to provide the best experience for you and treats this information with great care. We do not use your information for any other purpose, and we do not sell or give your information to any third party without your consent.

You may ask us to remove or correct your information at any time, other than information we need to keep for legal obligations or vital interest.

To do this send an email to

To check all your individual data protection rights, and how ChristCentral Churches safeguards these, please read our Privacy Policy at

Please tick the consent box below to give your consent for ChristCentral Churches to store all the personal information you give us for the purpose of this application *
I also give consent to be contacted by ChristCentral Churches about other events and activities run by them.
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