A P P L I C A T I O N

Please complete all the fields as applicable.

WOMEN'S GROUP INFORMATION

Has your group previously chartered with Vivid Women? *

AGREEMENT

By submitting this 100 Churches Application, you are agreeing to the following:
 
As a Women Who Lead group we will:
   1. Support through active participation, the initiatives of Women Who Lead.
   2. Notify Women Who Lead's office:
        - when there are changes in leadership.
        - when there are address changes.
        - if for any reason the group should dissolve.
 
Agree *

COORDINATOR INFORMATION

LEADERSHIP INFORMATION

All leadership team members that provide an email will receive a copy of the quarterly info-pack and event information.
Do you have additional leaders to list? *
Use the space below to enter information for your additional leaders.  *
 1. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 2. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 3. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 4. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 5. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 6. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 7. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role
 
 8. Additional leader information.
First Name
Last Name
Street Address
City
ST
Zip Code
Phone
Email
Role

DONATION AMOUNT

Will you be donating yearly or monthly? *
To set up monthly giving you can go to the pmnwomenwholead.com.
Select the "Give" button from the home screen and follow the directions on the webpage.
*Please check the "Make This Gift Recurring" box on the form.
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