Leadership Application

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Name *

Email *

Date of Birth

City & State where you reside in *

How long in this state? *

Is this where you will hold meetings? *

• Yes
• No

If No, City & State for meetings

Local Church Affiliation *

Will this WINGS chapter meet at the church or a home? *

• Church
• Home
• Someplace else

If someplace else, please describe

Approximately how many members do you anticipate for attendance? *

Length of time at this church *

Have you shared the WINGS ministry with your church leadership? *

• Yes
• No

If Yes, Name of Church Leader for Reference

If not, we recommend providing them the WINGS website to familiarize themselves with our Mission Statement and focus.

Church Leader Email Address (with prior permission given to you for contact)

If you are currently in an assigned position at your church, please provide your title and description

Tell us a little about yourself. Why would you like to become a Chapter Leader? Do you have any children or grandchildren? If so, what are their ages? *

Please provide us with three personal references. Include email addresses or phone numbers. *

Submit

Read and sign the Mission Statement. Once both the Application and the Mission Statement are received back – We will be in touch, and may God bless your efforts as a WINGS Leader