General Interest Information

List a region/people group your church has a burden for:

Are you already praying about a particular Church Planting opportunity?

If yes, please describe:

Describe your church's previous experience as a Sending Church (if applicable):

Does your church know about your plans to be a Sending Church?

Contact Information

Name

Address

Phone Number

Church

Church City

Role at Church

A member of the KBC Evangelism Team will contact you shortly after your form submission.