Faith & Philanthropy Institute | Admission Application

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Please fill out the application.

Title:

Dr.

Mr.

Mrs.

Ms.

Name*:

Address:

Address2:

City:

State:

Zip:

Home Phone:

(555-555-5555)

Work Phone:

(555-555-5555)

Email Address*:

Website:

School/College/University:

Diploma/Degree:

Yes No

Year:

School/College/University:

Diploma/Degree:

Yes No

Year:

(If this is a start-up organization, please complete as much as you can)

Position Title/Role:

Name of Church/Organization:

Address:

Address2:

City:

State:

Zip:

Phone:

(555-555-5555)

Website:

Annual Budget:

Number of paid staff:

Size of Board:

Organization's Mission:

Organization's current programs and services to the community?

Please answer below. Limit your responses to no more than 250 words for each question. Please type your responses, single spaced, in the box below.

1.	Why do you want to participate in the Community Economic Leadership Summit?
2.	Briefly give your definition of transformational community/ economic development.
3.	Write a brief statement describing the significance of your Christian faith to your everyday life.
4.	Briefly outline your organization's community vision and goals. Reflect on how your Christian faith informs your approach and mission to your community work.
5.	Do you currently have an action plan for your community vision/goals?
6.	Apart from Holy Scripture, what two books have had the greatest impact on your life and/or your work?
7.	What organization or program would you like to develop an action plan for during the Summit?
8.	Will you commit to attending all the sessions of the five day Summit?
9.	What is your leadership type?

	Would you like your application to be considered for future Leadership Summits in the event you are not selected for participation this summer? Yes No

Which Leadership Summit will you be attending?

	Fort Worth, TX, June 11-15, 2007 at the Smith Center for Leadership Development at Southwestern Baptist Theological Seminary.
	Lanham, MD, July 23-27, 2007 at the Washington Bible College/Capital Bible Seminary/Equip Institute.

A letter of recommendation submitted by an individual recommending you for the Community Economic Summit. One letter of recommendation attesting to the applicant’s leadership ability, heart for community, achievements, character and level of spiritual maturity, and the Community Economic Summit would benefit their work.

The letter of recommendation should be submitted separate from this application the person recommending you for participation in the Community Economic Leadership Summit.

Submit Application:

*is required