City to City Los Angeles - Incubator Revitalizer Application

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Birthdate

Marital Status

Current Church

Denomination or Network Affiliation

Tell us about your call to ministry.

How often do you engage in conversation with non-believers or people of other faiths?

Have you ever revitalized another church? Or how long have you served in your current church and at what capacity?

List your theological education and/or ministry experiences:

Please share the reasons you feel our program is a good fit for you.

Which Incubator training location are you interested in?

Please provide the name and email address of one reference and send them this link to fill out: https://forms.gle/n817WznAdL6bCFnZ7

Revitalizing a church? Don't do it alone! Apply today: