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Home > Mission Resources > Church Renewal > Coordinator Registration

Church Renewal Coordinator Registration

Please complete this form to join the network of Church Renewal Coordinators. Your registration will go through an approval process before you have access to the Coordinator Resources. *If you are only interested in serving as a Team Member, please complete the Team Member Registration instead.


* required information
Contact Information
First Name:*
Last Name:*
Spouse's Name:
E-mail:*
Address:*
City:*
State:*
Province:
ZIP/Postal Code:*
Phone:*
Business Phone:
Cell Phone:
Birth Date:(mm/dd/yyyy)
 
Emergency Contact Information
Name:*
Phone:*
 
Church Information
Church:*
State Convention:
 
Church Renewal Information
As a team member, in what area(s) would you be interested in serving:

RC=Renewal Coordinator
AC=Assistant Coordinator
RT=Renewal Teacher
AT=Adult Team
YC=Youth Coordinator
YA=Youth Assistant
CC=Children Coordinator
CA=Children Assistant
PC=Preschool Coordinator
PA=Preschool Assistant
ML=Music Leader
PP=Pianist

 RC
AC
RT
AT
YC
YA
CC
CA
PC
PA
ML
PP
Preferred role:*
Have you previously served as a team member?:* Yes
No
If YES, year you last served:
Which type(s) of Weekend(s) did you serve on?:

LRW=Lay Renewal
LMW=Lay Ministry
MEW=Marketplace Evangelism
PEW=Prayer/Empowering
ACT=Acts 1:8 Renewal
DSW=Discipleship
EGW=Experiencing God

 LRW
LMW
MEW
PEW
ACT
DSW
EGW
Coordinator with whom you served:
In which of these areas did you serve?:

RC=Renewal Coordinator
AC=Assistant Coordinator
RT=Renewal Teacher
AT=Adult Team
YC=Youth Coordinator
YA=Youth Assistant
CC=Children Coordinator
CA=Children Assistant
PC=Preschool Coordinator
PA=Preschool Assistant
ML=Music Leader
PP=Pianist

 RC
AC
RT
AT
YC
YA
CC
CA
PC
PA
ML
PP
Have you served as a State or Associational Renewal consultant or other Renewal position?:* Yes
No
If YES, title of position:
Year(s) of service:
Would you be interested in supporting CRJ in the following ways?:

JPC=Promotion Consultant
JPW=Prayer Warrior
CRJP=Pastor

 JPC
JPW
CRJP
What date was the last Renewal you served on:*(mm/dd/yyyy)
Weekends on which you have served as a Team Member: *

LRW=Lay Renewal
LMW=Lay Ministry
MEW=Marketplace Evangelism
PEW=Prayer/Empowering
ACT=Acts 1:8 Renewal
DSW=Discipleship
EGW=Experiencing God

 LRW
LMW
MEW
PEW
ACT
DSW
EGW
Last Renewal Coordinator with whom you served:
Other coordinators with whom you have served:
Date of the last Renewal Weekend on which you served as a team member:
Have you ever served as an Assistant Coordinator?:* Yes
No
Coordinators with which you served as Assist Coordinator:
Renewal Weekends for which you have served as Weekend Coordinator:

LRW=Lay Renewal
LMW=Lay Ministry
MEW=Marketplace Evangelism
PEW=Prayer/Empowering
ACT=Acts 1:8 Renewal
DSW=Discipleship
EGW=Experiencing God

 LRW
LMW
MEW
PEW
ACT
DSW
EGW
Have you ever attended a Coordinator Training:* Yes
No
Approximate date of training:
State or location of training:
Have you served as the General Chairman for a Renewal Weekend in your church?:* Yes
No
Name of Church:
Create Username and Password
Username:*
Password:*
Verify password:*
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Security Answer:*
        
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