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CRC Application Form (for Congregation)

Primary Contact Information

Contact Name *
Congregational Role (Clergy, Lay Leader, etc.) *
Email *
Phone *

Congregation Information

Church Name
Church Address
Denominational Affiliation
Church Website

Congregation Profile

Congregation Details (100 words)
Context and Challenges
Congregation Challenges

CRC Vision & Goals

What are you hoping to grow, heal, or develop through participation in CRC?
How do you hope CRC will shape your leadership, relationships, or community impact?

Proposed Renewal Project

What kind of renewal project or focus area do you hope to develop through CRC?

Scholarship

CRC Scholarship Request?
Scholarship Explanation: Please explain your financial need

Commitment

CRC Commitment Acknowledgement *
(I understand that CRC is a 9-month cohort-based program requiring consistent participation, project development, and collaborative engagement.)

CRC Team Members

Please enter all participant information below. The first participant entered will be listed as the Team Lead. *

Referral Information

Referee Name
Referee Email
Referee Affiliation with PSR
Referee Relationship