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* 1. (1000 characters or less)
Name,
Address,
Email,
Phone.

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* 2. (2000 characters or less)
Current occupation

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* 3. (1000 characters or less)
Education

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* 4. (2000 characters or less)
Previous consulting/coaching experience

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* 5. (2000 characters or less)
What books are you reading?
What books have had an impact upon you? (Please exclude Dr. Whitesel's books.)

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* 6. Your church involvement is:

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* 7. (2000 characters or less)
Why are you interested in training to become a missional coach?

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* 8. (2000 characters or less)
What do you see yourself doing in five years after receiving this training?

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* 9. When are you ready to start?

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* 10. How do you know Dr. Whitesel?

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* 11. (2000 characters or less)
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