Partner Network Intake Form Partner Network Intake FormPlease enable JavaScript in your browser to complete this form.Name of the organizationDoing business asAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone numberWebsiteMain contact personFirstLastRoleEmailEmailConfirm EmailPhone number (main contact person)How long has your organization been operating?What is the mission and vision of your organization?What do you hope to achieve by partnering with Northwest?When do you hope to have established an MOU? that what (please When do you hope to enroll your first students?What are your objectives in partnering with Northwest?Do you aim to:Address the critical shortage of pastoral leaders in Christian congregationsDevelop sustainable models for pastoral recruitment, preparation, and supportCreate open-source resources that benefit theological education broadlyEstablish long-term capacity for pastoral development beyond the grant periodOtherOther? (please specify)What is your plan to promote this program?Who will lead on the recruitment for this program?Do you have any curriculum requirements that you feel may not be addressed in current Northwest Programs?Do you have any doctrinal or theological concerns with the content delivered by Northwest?Are there any conflicts that we should be aware of? You can find our Statement of Faith here: https://fellowshippacific.ca/what-we-believeDo you have any potential Mentors? (name and role)Are you able to provide financial support to your students?YesNoIf yes, please describe what this might look like.Are you willing to financially invest in the set-up of this program? If so, what is your budget.Submit