SLT Application: Discussion Group Leader

Intensive Location
Which Intensive would you like to register for?*
Middlefield, OH
Kirkland, WA
Contact Info
*Name:
*Email:
Address:
City:
State:
Zip:
Phone:
Fax:
Work:
Mobile:
Date of birth:
Your Church
*Church name:
Address:
City:
State:
Zip:
*Pastor's name:
Your Family
Spouse’s name:
Siblings’ names:
Children’s names:
About You
Employment:
Part Time
Full Time
Please choose one:
I am a current student
I am a graduate of the course
(year)
I am a current facilitator
I am a previous facilitator
Other relationship or history with the SLT program
Please describe:
Have you been a discussion group leader in the past? Describe history:
Housing and Transportation
Please choose from the following options:
I will be staying in a hotel, or have made other arrangements. I do not need housing or transportation.
I would like to request housing or transportation.
To find hotels in the area, see the Host Church information on the Intensives page, or contact the SLT office or the Host Church office for further assistance.
To request housing and/or transportation, please enter the following info.
If you are traveling by plane, please enter flight details. If you are driving to the Intensive, please provide the day and approximate hour you will be arriving and leaving so your host may plan accordingly.
Arrival:
Airport:
Airline:
Flight #:
Date:
Time:
Departure:
Airport:
Airline:
Flight #:
Date:
Time:
Transportation:
I will have a car.
I would like to request transportation.
Housing:
I wish to be housed in a local home.
Names of other Students or Facilitators with whom you wish to room:
Any allergies (pets? foods?), medical, or dietary instructions of which we should be aware?
Other information we should know?
Comments
Other comments:
Submit Application
To pay online, please click submit to send your application for processing and proceed to online payment and medical release form.
To pay by check, please print and complete the following documents:
  1. Your application (just print this page)
  2. The medical release form
  3. A check for the $75 Intensive fee made payable to SLT

And then mail all of the above documents to: SCS, Attn: SLT, 2425 Mendocino Ave, Santa Rosa, CA 95403.