WIML 25/26 Application – Gateway Foursquare

First Name *

Middle Name *

Last Name *

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

Email Address *

Best Phone Number *

Date of Birth *

How did you hear about the Empowered WIML cohort!?

Occupation *

Home Church *

Position (if applicable) *

Name, Phone Number & Email of a Personal Reference Not Related To You *

Name, Phone Number & Email of a Pastoral Reference Not Related To You *

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, 2026.

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 important that you honor those in your triad by coming prepared, by not having anyone else in the room (spouse / roommate / children), and by keeping scheduled triad appointments to the best of your ability. 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. *