PLACE Registration
Please fill out this form in order to be contacted by a Grace PLACE coach and be scheduled to complete the assessment.
We ask for a $10 donation to take this survey. Please contact Brenda Rota ( to arrange payment or pay with PushPay after you submit!
More information about the PLACE assessment: (NOTE: Please disregard the conference dates, Grace has our own assessment schedule)
Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Preferred Method of Contact *
Best time to reach you:
Your answer
Have you entered into a saving relationship with Jesus Christ? *
Are you currently in a Small Group or Bible Study? *
What ministries are you currently involved in?
Your answer
Have you ever attended similar workshop or evaluated your personality, passions, or gifting in the past?
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