ROOTED - Application Form
We are encouraged that the Lord is leading you to apply for ROOTED Discipleship School.  

Please complete the following questions and submit your application for processing.

One of our team members will then reach out to you to schedule a conversation with you.
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Name and Surname *
Email *
Phone Number *
Current Address *
Date of Birth
MM
/
DD
/
YYYY
Gender *
Marital Status *
What church congregation are you currently a part of, if any? *
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