Interest Form

Let’s connect on how you can join the NEXGEN Leadership Program

Cost for the 12-week leadership program is $599 per person and starts January 2024.

Additional questions? Email leewilsonlife@gmail.com.

Name

First Name

Last Name

Email

Phone

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Age

Church/Organization Name

Website

Title

Year's In Position

Full Time, Part Time or Volunteer?

Social Media Account

How did you hear about the NEXTGEN Lead?

Web

Social

Other

I am aware that the cost of this leadership program is $599/person for 3-months.

Yes

No