APPLICATION FORM

Personal Information
Full Name

Address City Province Zip

Age Civil Status Spouse Name

Are you a PASTOR of a local church? Name of the church you are pastoring
Yes No

State the length of your service in the church State your position/role in the church

Are you willing to commit yourself to attend the ENTIRE five (5) sessions of GCLA training program for 2023?
Yes No

Email Address Facebook Account Mobile Number

Please tell us what you expect from this program?

Please supply us with 2 character references:

Name Relationship Email Phone

Spouse Permission
I understand that GCLA requires that my spouse will attend 5 courses of 4-day long sessions over the course of 12
months and that our family will prioritize these schedules.

Signature: Signature of spouse:

Date:

*Please email to: gcla.gcmtc@gmail.com