Next Level LeadHERshift Academy ~ Pre-Assessment Survey

Executive Leadership (Ex-L) Certificate

The Executive Leadership Certificate program is a 12-month leadership training certification program designed to provide women who lead with next level leadership skills. Professional women are especially encouraged to participate as this will help better prepare you to lead within the church.

Ex-L Scholars must complete the Ex-L Orientation, pre-assessment survey, three Master Class modules, assigned homework, and final project before they will earn the certificate of completion. Each module is 3-months and consists of books, articles, templates, interactive exercises, and visual learning, such as videos and webinars.

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* 1. Participant Information

Name

Email

Cell Number

Marital Status

Age

Job Status (FT/PT)

Church Name

Jurisdiction

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* 2. Briefly describe why you are interested in the Executive Leadership Certificate program (Ex-L)?

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* 3. How do you feel the Executive Leadership Certificate (Ex-L) will enhance your current leadership experience?

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* 4. Spiritual Life

	Rarely	Occasionally	Frequently / Weekly	Daily
How often do you attend church service?	How often do you attend church service? Rarely	How often do you attend church service? Occasionally	How often do you attend church service? Frequently / Weekly	How often do you attend church service? Daily
How often do you read the Bible?	How often do you read the Bible? Rarely	How often do you read the Bible? Occasionally	How often do you read the Bible? Frequently / Weekly	How often do you read the Bible? Daily
How often do you attend Bible Study?	How often do you attend Bible Study? Rarely	How often do you attend Bible Study? Occasionally	How often do you attend Bible Study? Frequently / Weekly	How often do you attend Bible Study? Daily
How often do you pray?	How often do you pray? Rarely	How often do you pray? Occasionally	How often do you pray? Frequently / Weekly	How often do you pray? Daily

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* 5. Please provide us with the types of trainings you completed / attended.