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Radiant Disciple Application
Fill out this form so you can be included in our next Discipleship Cohort
Your name
*
Last name
Email address
*
Phone number
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Phone type
Mobile
Home
Work
Other
Gender
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Select…
Male
Female
Age
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Before filling out this application, we want to make sure you have taken the time to read and understand the Participant Guide located on the Defiant Disciple page. Have you had a chance to do this?
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Select…
Yes
No
Are you a Christian? If so, for how long and what has been your journey?
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Have you been water baptized? If yes, when and what led you to this decision? If no, are you ready to be water baptized?
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Have you gone through Sunday School at Experience Church? If so, what was it like for you? What was your biggest takeaway?
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What does it mean to you to be a committed follower of Jesus?
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Why are you applying for the Defiant Discipleship Cohort?
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Have you ever participated in discipleship or being mentored before? Please share...
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How often do you attend church?
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Select…
Every week
Most weeks
Depends on my schedule
What does your giving look like at Experience Church?
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Select…
I am not giving, but ready to start. Can someone help me?
I am giving, but not consistently
I am giving consistently every month
I tithe every month
I give abundantly, above my tithe
Are you willing to do an interview with one of our Defiant Disciple Leaders to talk through your application and future steps?
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Select…
Yes
I'm not ready for this
The cost of the Defiant Disciple (DD) application is $125. If approved, are you ready to submit payment?
*
Select…
Yes I am ready to be discipled!
I want to be discipled but can not make payment right now.
I'd like to talk to a Pastor first.
Submit
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