Program Application 2016-17
Thank you for your interest in joining an Emerging Leader cohort! Please complete this on-line application no later than July 15th. Only ten applicants will be accepted for this round. The Emerging Leaders Program staff will inform you of your acceptance into the program by August 1st. Contact Tim Tseng at drtimtseng@gmail.com if you have any questions. Thank you!
First Name *
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Last Name *
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Email address *
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Address *
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City *
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State *
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Zip Code *
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Gender *
Your current status *
Your Emerging Leaders Program Focus *
Please describe briefly what you would like the Emerging Leaders program to do for you. *
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The value of Emerging Leaders, 2016-17
The Estimated Value of Emerging Leaders is $1,000/participant. This includes:
- One-day seminar (includes meal, supplies, teacher honorarium, and closing celebration) $200
- Mentoring (mentor coordinator expenses, $50, mentor honorarium, meals with mentees, and supplies $550) $700
- Administrative (AACL $80, director $20) $100

Please note that
- Participants will be asked to donate what they are able, and will be encouraged to invite their churches or supporters to offer financial assistance.
- Healthy Church Leadership Initiative will also raise funds to subsidize the cost of participation.

Acknowledgement of program value *
Required
Reference. Please provide name of a person who can provide a reference for your application.
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Reference. Please provide email or phone number of a person who can provide a reference for your application.
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Preferred Mentor. Please provide name of the person who you would like to be mentored by.
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Preferred Mentor. Please provide email or phone number of the person you would like to be mentored by.
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