WIML 2023 Application – Gateway Foursquare

First Name *

Middle Name *

Last Name *

Mailing Address (Street, City, State, Zip) *

Email Address *

Best Phone Number *

Date of Birth *

Occupation *

Home Church *

Position (if applicable) *

Name & Phone Number of a Personal Reference *

Ministry Experience *

Your Story *

Your Family *

Coaching Triads *

Questions or Comments *

Please Read

SUMMIT PARTICIPATION: The Summit at Cannon Beach Conference Center is a required aspect of the WIML cohort. Applicants that cannot attend will not be accepted into the Cohort. Summit date: TBD 2024.

Select yes if you agree to the above. *

MONTHLY COHORT PARTICIPATION: I understand the importance of the monthly zoom cohort gathering. I commit to attend all of these gatherings.

Select yes if you agree to the above. *

MONTHLY COACHING SESSIONS: Monthly triad coaching sessions are a required part of the WIML cohort. It is your responsibility to communicate with this small group if you cannot make a scheduled call.

Select yes if you agree to the above. *

Facebook Group: It is not required to use Facebook, but we do have a group for the cohort for the purpose of connecting relationally throughout the year (and even after the cohort is over). Would you like to be included in this?

Select yes if you would like to be added to the Facebook group.