Entry Form

Multiplying Church Network

Enlistment Form

* Please fill out this form to get an id & password.

MCN Information
MCN Name (If there is no name yet, type "not yet".)
MCN (State) Convention
MCN Begun	Month Year
How will this MCN help your association/convention accomplish it's church planting strategy/goals?
Who are the main associational and state church planting staff that this MCN will relate to?
Purposes of the MCN

Facilitator Information
Facilitator's Name
If the facilitator name is not in the above list, please fill in the following form.
Facilitator's First Name
Facilitator's Last Name
Facilitator's Primary Role
Address (street)
Address (city)
Address (state & country)	State: Country:
Address (zip)
Facilitator's Work Phone #	i.e. (123)456-7890
Facilitator's Cell Phone #	i.e. (123)456-7890
Facilitator's Email Address
New Facilitator in Training

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