Apply – Charlotte Leadership Forum

About you

Basic information about both of you as a couple.

Husband

First name Last name

Name tag preference Date of birth

Mobile number Email address

Wife

First name Last name

Name tag preference Date of birth

Mobile number Email address

Together

Home address

City ZIP code

Wedding date Children's names and ages (optional)

Education

Husband — school, degree(s), major, graduation year Wife — school, degree(s), major, graduation year

Your work

Tell us about your professional experience. List your current or most recent position first.

Husband's employment

Organization, location, position, responsibilities, and dates

Wife's employment

Organization, location, position, responsibilities, and dates

Your faith

CLF is grounded in Scripture and rooted in community. Help us understand where you are spiritually.

Your church

Church name Church phone number

Pastor's name Church website

Faith journey

Husband — briefly describe your conversion experience Wife — briefly describe your conversion experience

Mentoring

Husband — do you currently have a mentor relationship with an older mentor?

Yes No

Describe the length and nature of this relationship

Wife — do you currently have a mentor relationship with an older mentor? (optional to participate in CLF)

Yes No

Describe the length and nature of this relationship

Peer groups

Husband — do you currently meet with a group of peers for ministry and personal growth?

Yes No

Describe the length and nature of this group

Wife — do you currently meet with a group of peers for ministry and personal growth?

Yes No

Describe the length and nature of this group

Your goals

Help us understand what you're hoping to accomplish — and confirm your commitment to the experience.

Leadership

Briefly describe a significant achievement in leadership for each of you as a couple

Development objectives

Why do you want to participate in CLF? State three clear development objectives. Objective 1 Objective 2 Objective 3

Commitment

CLF is an 18-month experience that includes 6 retreats, 13 dinner gatherings, monthly mentoring, and weekly or bi-weekly small groups. We ask that both partners are fully committed to participating throughout the duration.

We have read and understand the time requirements of the CLF experience, and we are both committed to participating fully for the full 18 months.

Signatures

Husband — e-signature (type your full name) Wife — e-signature (type your full name)

References

We require five references. Once you submit, each reference will automatically receive a personalized email from CLF with a short form to complete.

References receive an automatic email from CLF immediately after you submit

Their form takes about 10 minutes and is tailored to their role

All responses are confidential

Couple

Church pastor

Pastor's name Email address

Phone number Relationship

Husband

Reference 1 — manager or supervisor

Name Email address

Phone number Relationship

Husband

Reference 2 — peer

Name Email address

Phone number Relationship

Wife

Reference 1 — mentor or manager

Name Email address

Phone number Relationship

Wife

Reference 2 — peer

Name Email address

Phone number Relationship

After you submit, all five references will automatically receive a personalized email from CLF.

Make room
for more.

About you

Your work

Your faith

Your goals

References

Church pastor

Reference 1 — manager or supervisor

Reference 2 — peer

Reference 1 — mentor or manager

Reference 2 — peer

Almost
there.

About you

Your work

Your faith

Your goals

References

Church pastor

Reference 1 — manager or supervisor

Reference 2 — peer

Reference 1 — mentor or manager

Reference 2 — peer

Almostthere.

Almost
there.