LEAD DIRECTOR TRAINING APPLICATION

Thank you for taking the time to apply for the Lead Director Training with Chi Alpha Campus Ministries, U.S.A. This lengthy application will help us to aid you in developing your “learning plan” based on your current skills and experiences. Please be thoughtful as you enter your answers, as they will impact how we develop your training. Once you have completed your application, we will send instructions for the $50 application fee and next steps.

By applying for Lead Director Training, you give Chi Alpha and its representatives permission to run background checks, communicate with references, and verify all information communicated through this application.

By completing this application you acknowledge that your enrollment in the program is not guaranteed and subject to approval by both district, area, and national Chi Alpha leadership.

The Deadline is April 1, 2024.

Personal Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Email*

Marital Status*

Single
Engaged
Married
Married with Children
Widowed
Divorced or Annulled
Divorced or Annulled and Remarried
Other

Other*

Spouse's Name*

First Middle Last

Your Age*

Highest Level of Education*

Please list the degrees you have.*

Year(s) Degree(s) Completed

Spiritual and Ministry Experiences

Current Level of Credentials with the Assemblies of God*

What did year did you received this credential?*

List your previous paid ministry positions.*

Title	Location	Dates

List three previous work (non-ministry) experience.*

Title	Location	Dates

List all previous Chi Alpha staff experience.*

Title	Location	Dates

What year did you come to Christ?*

What year were you water baptized?

What year were you filled with the Holy Spirit?*

Chi Alpha Role

Which best describes your current role within Chi Alpha?*

Other*

What potential role will your spouse be playing in your new position?*

Name of campus you are currently on.

Please write out the full name of the college/university. Abbreviations are not clear enough to determine the name as there can be several colleges/universities with the same acronym.

Name of campus you hope to work on at the completion of the Lead Director program.*

Please write out the full name of the college/university. Abbreviations are not clear enough to determine the name as there can be several colleges/universities with the same acronym.

When do you anticipate beginning ministry on your target campus?*

Have you affiliated as a Chi Alpha leader through the National Chi Alpha Ministry Center?*

Yes
No

How will you be financially supported while doing the Lead Director Training?*

List the CMIT Program and year(s) you participated in it.

CMIT Program	Year(s)

Which best describes your current position within Chi Alpha?*

What is the current percentage of your monthly support?*

When did you complete an area Chi Alpha Support Raising Training?*

Who is your support raising coach?

First Last

Have you completed a Chi Alpha Pioneering Boot Camp?*

When did you complete it?*