Pastor's Contact Information

First Name:

Last Name:

Email:

Home Address:

Unit / Suite:

Country:

City:

State:

Zip Code:

Daytime Phone Number:

Daytime Phone Type:

Alternate Phone:

Church Information

Church Name *:

Pastor's Name:

Church Email:

Church Address:

Church City:

Church State:

Church Zip Code:

Church Phone Number:

Recommendation and Financial Matters

The Leadership Academy requires the student, his or her local congregation, and the NACOG to covenant in ways that all parties mutually benefit from the student’s enrollment.

Therefore, the student’s local congregation is encouraged to pay the non-refundable tuition cost $200 per student, of which covers the expense of all three sessions during the year.

The local congregation is also encouraged to pay the student’s transportation cost to and from all three sessions.

The NACOG will cover all room and board expenses and instructional costs.

Student's Name:

I attest that all information listed above is true.

Amount Due $200

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Leadership Academy Pastor Recommendation

Pastor's Contact Information

Church Information

Recommendation and Financial Matters

Amount Due $200