Assessment Registration

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Assessment Registration

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Event Date

Candidate Details

My Name*

First Last

My Email*

My Mobile*

Home Address

Street Address City State ZIP Code

Current Marital Status*

My Current Job Title

Years in My Current Job

Spouse Details

My Spouse's Name*

First Last

My Spouse's Email*

My Spouse's Mobile*

My Spouse's Current Job Title

Spouse's Years in Current Job

What food allergies do either you or your spouse need accommodated?:*

Sponsor Details

What denomination or fellowship of churches (if any) would you consider yourself associated with?*

Which Network(s) are you planting with?*

If you are currently being considered for a specific church plant project, please provide the location of the project and your role:*

I’m not sure

Other

Who will come with you to the event as your sponsor?*

First Last

Sponsor's Email*

Sponsor's Mobile

Which congregation are you currently a member of?*

Church of Membership Location

City State / Province / Region

Payment Details

Because of strategic partnerships and generous donors, we’re able to offer a sliding scale for Assessment fees. See Assessment page for details.

Deposit*

$300 Deposit to Save My Seat

You will be billed for the balance, which will be due one month prior to the event. Deposits are non-refundable; find payment policy linked below.

Credit Card

Total

Passion for Planting Assessment Payment Policy

Assessment Registration

Candidate Details

Spouse Details

Sponsor Details

Payment Details

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