Partner Site Application

Partner Site Information

Site Name

Site Phone

Site Website (If you already have one)

Partner Site Director

First Name

Last Name

Phone

Organization Information

Organization's Name

Church Website

Organization's Address

City

State

Zip Code

What type of organization are you?

Church Size

Is your church affiliated with the Assemblies of God?

Lead Pastor Name

Staff Information

How many staff members are on your team?

Staff Role

First Name

Last Name

Work Phone

Staff Role

First Name

Last Name

Work Phone

Staff Role

First Name

Last Name

Work Phone

Staff Role

First Name

Last Name

Work Phone

Staff Role

First Name

Last Name

Work Phone