PLI - Pastoral Leadership Institute · PLI Learning Community Registration

Contact Information

Name

*

First Name

Last Name

Date of Birth

*

(mm/dd/yyyy)

Home Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Home Phone Number

*

Cell Phone Number

*

Work Phone Number

Email Address

*

Verify Email

*

How did you get connected to PLI?

Friend or coworker

Social media

Email

Website

Event booth or presentation

Are you married?

*

Yes

No

Spouse Name

*

First Name

Last Name

Spouse Date of Birth

(mm/dd/yyyy)

Spouse Cell Phone Number

*

Spouse Work Phone Number

Spouse Email Address

Verify Email

Church/Organization Information

Church/Organization Name

*

Please enter the full name including city and state in parentheses as shown in this example: Saint John Lutheran Church (Wheaton, IL)

Church/Organization phone number

*

Church/Organization address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Learning Community

Which learning community are you registering for?

*

Please find start date, starting location and tuition cost per year noted by PLI's upcoming Learning Communities.

Registration Fee

Nonrefundable Registration Fee Amount

$200 - Leadership Essentials

Nonrefundable Registration Fee Amount

$200 - Missional Leader

LE Tuition

Learning Community	Year 1 Tuituon	Year 2 Tuition	Year 3 Tuition	Total Cost
Leadership Essentials	$3,500	$3,500	$1,750	$8,750

ML Tuition

Learning Community	Year 1 Tuituon	Year 2 Tuition		Total Cost
Missional Leader	$3,500	$3,500		$7,000

LE Tuition With PLIFP Grant

Learning Community

Year 1 Tuituon

Year 2 Tuition

Learning Community

Year 1 Tuituon

Year 2 Tuition

Year 3 Tuition

Total Cost

Leadership Essentials

$3,500

$3,200

$3,500

$3,200

$1,750

$1,600

$8,750

$8,000

LE Tuition With PLISG Grant

Learning Community

Year 1 Tuituon

Year 2 Tuition

Year 3 Tuition

Total Cost

Leadership Essentials

$3,500

$1,500

$3,500

$1,500

$1,750

$750

$8,750

$3,750

LE Tuition With PLISDG Grant

Learning Community

Year 1 Tuituon

Year 2 Tuition

Year 3 Tuition

Total Cost

Leadership Essentials

$3,500

$2,000

$3,500

$2,000

$1,750

$1,000

$8,750

$5,000

D2MC Tuition

Learning Community	Year 1 Tuituon	Year 2 Tuition	Year 3 Tuition	Total Cost
D2MC 1-3 team members	$3,800	$3,800	$1900	$9,500
D2MC 1-3 team members	$6,400	$6,400	$6,200	$16,000
D2MC 6-7 team members	$9,000	$9,000	$4,500	$22,500

D2MC Tuition with PLIFP Grant

Learning Community	Year 1 Tuituon	Year 2 Tuition	Year 3 Tuition	Total Cost
D2MC 1-3 team members	$1,900	$1,900	$950	$4,750
D2MC 1-3 team members	$3,200	$3,200	$1,600	$8,000
D2MC 6-7 team members	$4,500	$4,500	$2,250	$11,250

D2MC Tuition with PLIG Grant

Learning Community	Year 1 Tuituon	Year 2 Tuition	Year 3 Tuition	Total Cost
D2MC 1-3 team members	$3,500	$3,500	$1,750	$8,750
D2MC 1-3 team members	$6,100	$6,100	$3,050	$15,250
D2MC 6-7 team members	$8,700	$8,700	$4,350	$21,750

D2MC Tuition with PLIJY Grant

Learning Community	Year 1 Tuituon	Year 2 Tuition	Year 3 Tuition	Total Cost
D2MC 1-3 team members	$2,800	$2,800	$1,400	$7,00
D2MC 1-3 team members	$5,400	$5,400	$2,700	$13,500
D2MC 6-7 team members	$8,000	$8,000	$4,000	$20,000

Grant Code

If you have a grant code enter it here

D2MC Teams

D2MC offers you the opportunity to bring a team to immersions! Please commit to a team size below as part of your agreement with PLI. See the above table for team pricing.

Your D2MC Team

*

Please commit to a team size that includes you and your spouse. You will receive an email before your first immersion with a link to register your additional team members. Filling out this form today reserves their spot.

Who will be paying the tuition:

*

Church/Organization

Individual

Good Faith Agreement

PLI seeks to train and invest in multiplying missional leaders.

To achieve this mission, PLI utilizes a Good Faith Agreement. This agreement creates a covenant relationship, made in good faith, between you and PLI. This agreement describes what you can expect from PLI and gives you the opportunity to commit to your participation and financial investment. We enter this covenant together based on our faith in Jesus Christ and our mutual desire to see vibrant communities, deeper connections and wider influence for the sake of the Gospel.

PLI commits to provide you with

Highly supportive, intentional learning communities which provide leadership development, hope, direction, problem-solving and practical steps of implementation for each individual context.
Meaningful relationships through immersion experiences, unique coaching for each learning community and access to all of our experience and resources.
Space to create and implement a leadership and missional plan, unique to your context (community, church, and home) to achieve your Spirit-led goals.

As a participant, you are committing to

Engage wholeheartedly in immersions and coaching.
Implement your Spirit-led goals.
Honor your financial commitment to PLI.
Cover your costs for travel, ground transportation, lodging and some meals out.

Covenant

This covenant begins with your registration fee and completion of the registration page. This covenant concludes upon your last Learning Community immersion and final payment. We hope that all participants can complete the entire Learning Community experience, but we also understand that unique circumstances arise. If you feel the need to end your participation in PLI please contact your Learning Community Leader. Please acknowledge your understanding of and commitment to this covenant by typing your initials in the box below.

I hereby confirm that I have read, fully understand and commit to this Good Faith Agreement and the financial investment. I, in good faith, agree to fulfill this covenant to the best of my ability.

Download Good Faith Agreement for your records here.

Initial here

*

Please type in your initials to indicate that you have read and affirm this Good Faith Agreement.

Commitment to Good Faith Agreement

*

I confirm that I have read, fully understand and commit to this Good Faith Agreement and the financial investment. I, in good faith, agree to fulfill this covenant to the best of my ability.

Yes, I agree

Photo Agreement

On behalf of my church/organization, I authorize PLI and its representatives and employees to take photographs of our team during and/or in connection with learning community events and/or other activities. Additionally, PLI is hereby authorized to copyright, use, and publish the same in print and/or electronically. PLI may use such photographs of us with or without our names and for any lawful purpose, including for example, such purposes as publicity, illustration, advertising, and web content.

Any person participating in a PLI event or activity who does not wish to have their image recorded for distribution should make their wishes known to the photographer, and/or the event organizers. Thank you for your understanding and cooperation!

I'd like to pay my registration fee by:

*

Online Payment

Check by Mail

Siebert Grant Receipent

Nonrefundable Registration Fee Amount

$200 - Leadership Essentials

$200 - Missional Leader

$500 - Discipleship to Missional Community (D2MC)

$200 - Senior Leader

You're almost done. Click next to pay your registration fee.

Mail your check to:

PLI

PO Box 972

Wheaton IL 60187