Coaching Network Urban Coaching Network Form Leave this field blank Contact Info *Everything is required unless it ends with "(optional)". Your information will remain confidential. First Name Last Name Email Mailing Address 1 Mailing Address 2 (optional) City State Zip Code (optional) Ministry Info Ministry Name Your Position Ministry Age Weekly Attendance Weekly Attendance 12 months ago (optional) Weekly Service Times (optional) Small Group Attendance Avg. (optional) Affiliation Denomination Questionnaire Why do you want to join this network and what are you looking to learn from it? What is the current demographic you are reaching? Does this demographic match your community? Who is currently on your staff? (Names & positions) Ministry Location (optional) Permanent Portable What conferences, training events or coaching have you participated in? (optional) What books have you read? What is the biggest challenge in your ministry? What is your biggest personal challenge? How did you hear about the Coaching Network? Can you commit to the 6 month webinar on the last Tuesday Night of the month at 7pm EST? Yes No Thank you for your time. Submit Form
