Coaching Application Form

To be submitted prior to any coaching agreement.

Upon completion, your application will be reviewed. To qualify for enrollment, you must submit some personal and church information. If accepted, you will contacted for a 30 minute phone interview.

Click the button below to start.



This one-on-one coaching has a limited amount of participants, and I am selective about who is part of it in order to maximize its impact for you. I want people who are ready to take action and get their church moving forward.


To qualify for enrollment, you must meet the following requirements:


 • You are a leader in the church and able and willing to make decisions concerning church programing and outreach techniques.


 • You're not looking for a quick and easy way to grow a crowd.


• You have a passionate desire to reach new, young families for the Lord Jesus Christ.


• You have the internet capacity and scheduling ability to view online training videos and make 90 minute phone calls and/or Zoom video calls over the next two months.


 • You are ready and willing to invest in yourself with the cost of this program ($799).


If you fit the above criteria, start by filling out the application below. Once I review it, I'll contact you to let you know if I believe you'd be a great fit for the program!


Enrollment for the next session closes soon, so if you're wanting to apply, don't delay on filling out the application below.

Question 2 of 7

Full Name,  City, State/Province, Best Email and Cell Number

Question 3 of 7

Church Name, City/State, Website and Church Facebook Name

Question 4 of 7

All Social Media Contacts and Links

Question 5 of 7

What goals do you have for your church in the next 6 months? Year?

Question 6 of 7

What obstacles have you been facing in your ministry?

Question 7 of 7

If accepted, what would like to see accomplished during our coaching time together?

Confirm and Submit