EXECUTIVE LEADER STREAM APPLICATION FOR ADMISSION Instructions: Please give attention to each section of the application, including the checklist. Fill out the application on your computer and e-mail the completed application to admissions@arrowleadership.org. A hard copy should also be printed out and faxed or mailed along with a non-refundable $100 application fee (that is payable by check or credit card). If you have any questions, please call 1-877-262-7769 or email admissions@arrowleadership.org. Application Checklist Fees Application for Admission Leadership & Ministry Sketch Organization Profile Reference Form - A board member, CEO or supervisor reference is required The current all-inclusive fee for the Executive Leader Stream is $15,000.00. This cost includes all program materials, testing and assessments, ongoing coaching, instructional fees, as well as shared room and meals during residentials (single rooms may be available at a slight premium). Each leader will be responsible for his/her own transportation costs and books. Signature provided where required Application Fee - An application fee of $100 must be included with your application payable to Arrow Leadership. This fee is nonrefundable. Photo - Please attach or email a photo of you and your family, if applicable (admissions@arrowleadership.org) Email your application to admissions@arrowleadership.org Mail or fax a copy of your signed application (including spousal signature if applicable) Once accepted into the program, a confirmation fee of $1000.00 is required. This fee reserves your place in the class, and covers the costs for all assessment materials and review. It is non-refundable, nontransferable and is credited towards your overall program fees. Please note that fees are subject to change until acceptance into the program. Please call our Arrow offices for ideas and suggestions on garnering support to assist in the cost of your development. Contact Information Application Deadlines New program launches of the Executive Stream of the Arrow Leadership Program begin regularly. The assessment process normally requires 3 months of time prior to the first residential experience. Since Arrow limits the number of participants in each program to a maximum of 25, we recommend that leaders apply early. Visit the Arrow website regarding future class launch dates and residential week times and locations. Selection Committee Every application is carefully screened by a selection committee, which confidentially reviews each applicant for suitability as an Executive Stream Participant. Following review you will be contacted via letter or email as to the status of your application. Once chosen, a participant is not added to a class roster until they have accepted the invitation to participate and submitted the confirmation fee. www.arrowleadership.org Confirmation Fee If you have any questions, please contact the Arrow office: USA Arrow Leadership P.O. Box 1243 Blaine, WA 98231-1243 Canada Arrow Leadership Unit D, 2609 Progressive Way Abbotsford, BC V2T 6H8 Phone 1-877-262-7769 Fax (604) 864-6493 Email admissions@arrowleadership.org Website www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 1 of 10 APPLICATION FOR ADMISSION NAME Mr. Mrs. Miss Ms. First / Given name: Other surnames: Other ________ Preferred name: Street address: City: Province / State: Home phone: WORK Rev. Last / Family name: Middle name (s): HOME Dr. Country: Home fax: Position Title: __Postal / Zip Code: Home email: Organization: Street address: City: Province / State: Work phone: Country: Work fax: Personal work email: __Postal / Zip Code: Personal cell phone: ______________________ Your Organization’s Website: I wish to receive Arrow correspondence at: Work Home I wish to receive Arrow Leadership’s E-Resource Sharpening Leaders: BIRTHDATE & CITIZENSHIP Birth date (DD-MM-YYYY): Age: MARITAL & FAMILY STATUS PROGRAM CONNECTION Female / No Male Citizenship: Do you have a current passport: CLASS DESIRED Sex: Yes Married Single Divorced Yes / No Widowed Spouse's Name: Children: Name: Age: Name: Age: Name: Name: Age: Name: Age: Name: Age: Age: 41st Class – Begins November 2015 43rd Class – Begins November 2016 How did you hear about this program? Who, if anyone, recommended that you apply? *Arrow treats your personal and confidential information with the utmost of care and security. Your information will not be passed on to any other source, and we will treat personal contact information as confidential for the purpose of participation and communication during the Executive Leader Stream of the Arrow Leadership Program. Your personal information is required so that Arrow can communicate with you directly. Assessment materials and correspondence may be confidential in nature, and we respect your privacy. www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 2 of 10 APPLICATION FOR ADMISSION CONTINUED CURRENT Please check the category best describing your current position: EMPLOYMENT CEO/President/Executive Director Vice-President or Director Executive/Administrative Pastor Senior Pastor Business or marketplace leader Principal/Senior School Administrator Other _________________ Job Title: Briefly describe your role and key responsibilities: Number of Staff within your organization: Full Time: Part Time: Volunteer: Number of Staff who report directly to you: Full Time: Part Time: Volunteer: Name of Home Church: Denominational affiliation of your church: Are You: Ordained Licensed to the ministry If so, where: ____By Whom: ______ Are you currently or have you ever been under investigation/discipline by civil authorities, your church, or denomination? Yes* No *If yes, please elaborate on a separate page. EMPLOYMENT List all relevant employment history (most recent first): EXPERIENCE Organization EDUCATION Location Post-Secondary Education Institution Location Position/Responsibilities Dates Degree/Major Grad Year List other training programs you have attended in the last 5 years: www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 3 of 10 LEADERSHIP AND MINISTRY SKETCH 1. Briefly describe your personal faith conversion and current expression of faith: 2. What do you believe will be the personal impact of your participation in the Executive Stream of the Arrow Leadership Program? 3. Describe some of your future goals in leadership: 4. State your current vision statement: 5. Give an example of a leadership failure in the last 2 years and how you grew from this experience: www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 4 of 10 LEADERSHIP & MINISTRY CONTINUED 6. Briefly describe a significant achievement in leadership: 7. Please indicate your current involvement within the context of a local church or faith gathering: 8. Please list any publications you have authored or significant rewards/certifications you have received: 9. Family Life: For your spouse to complete (if applicable): *Arrow’s systems approach to leader development sees the spouse’s role as an important component of the leader’s life and leadership. Therefore spouses are invited to participate as a member of the leader’s 360 assessment team, have opportunity to complete a portion of the assessment tools focused on their own assessment, and are invited to attend a portion of the third residential experience. Yes, I support my spouse’s participation in the Executive Stream of the Arrow Leadership Program. I understand I will be invited to participate in the assessment component of the program and attend the last two days of residential three, as well as the graduation ceremony. Yes, I wish to participate in the voluntary assessment component. No, I do not wish to participate in the voluntary assessment component. Printed Name Signature Date www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 5 of 10 ORGANIZATIONAL PROFILE Name of Organization: _______________________________________________ CEO (if not applicant): Description of what your organization does (in 100 words or less): *Please attach an annual report, latest newsletter, brochure, or other organizational materials and information that might help us to better understand your organization and the role that you play within it. For Non-Profit Applicants: Budgeted Income this year: Revenue in last fiscal year: For Church Ministries Applicants: Budgeted Income this year: Average combined weekly worship attendance: _______________________________ For All Applicants: Please list five (5) key organizational strengths: Please list five (5) key organizational weaknesses: Does your organization have a strategic plan that is reviewed and updated annually by the board? Yes No www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 6 of 10 www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 7 of 10 THE ARROW COVENANT Acceptance into the Executive Stream of the Arrow Leadership Program, infers participation in a 15-month holistic and intentional leadership development journey with up to 24 other Executive Leaders. To ensure a quality experience for all participants and to protect the integrity of the program, every participant must agree to active participation in every aspect of the program. If selected, you will become a member of a carefully screened cohort of executive leaders with whom you will learn and grow. As a member of this cohort you will participate in three residentials, enjoy monthly coaching meetings over the phone, work through personal and group assignments, and connect quarterly with a cluster of other executive leaders. It is therefore mandatory that every participant ensure their ongoing engagement, and participation within the program. Arrow reserves the right to “pause” or suspend any participant from the program who violates the terms of this covenant or who, at Arrow’s discretion needs to focus their time or energy on specific development or discipleship priorities in their life. Are you aware of and in agreement with Arrow's Statement of Faith in the Lausanne Covenant? *The statement can be found on our website. If you are NOT in agreement, please elaborate. Yes No* Do you commit to full participation in all three residential experiences? Yes No Do you commit to an open and honest holistic 360 assessment process? Yes No Do you make yourself available to participate in monthly coaching meetings? (8 meetings required between residentials) Yes No Do you commit to the timely completion of all individual and group assignments? Yes No Do you commit to make yourself available for participation in a peer cluster? (normally 4 quarterly meetings) Yes No Do you commit to pay for the entire Executive Leadership Stream experience? Yes No Do you agree that early withdrawal from the program will require a payment of 50% of all remaining fees? Yes No Christian Executive Leaders (both men and women) from around the world participate in this transformational leadership development program. While Arrow will promise to preserve your confidentiality and privacy, you will be asked to participate openly within a safe and confidential community. Arrow requests that each leader will actively preserve and protect the confidentiality and privacy of one another. Your signed application constitutes consent and agreement with this policy. Each leader will be assigned a leadership partner who will journey with the leader over the course of the Arrow Program. Leadership partners and select staff from Arrow will be given access to the leader’s Assessment material and will collaborate together as an Assessment and Development Team for the benefit and development of each leader. The Arrow Leadership Program has been developed over years of intensive research and development. Arrow values the free exchange of ideas, learning and expertise. As a result, Arrow will provide open and transparent organizational learning, research and development. This practice is designed to enhance the leader’s learning and personal development. It is expected that the principles, ideas and information provided during the Arrow Leadership experience are transferable and will be put into practice by graduates. Many graduates utilize the concepts, theories and strategies of Arrow Leadership within their own teams and organizations. However, the development of programs that match or mimic the majority of the Arrow Leadership experience requires dialogue and permission from the board of Arrow Leadership. In most cases, Arrow will be glad to assist, consult and support such endeavors. Arrow requests that graduates refrain from the wholesale utilization of the theories, practices and approaches to leadership development created by Arrow in the development or establishment of a leadership development program that would promote itself to a similar clientele or constituency as Arrow. Your signed application constitutes consent and agreement with this policy. For promotional purposes, videos and photographs are taken at all residential and activities. Your signature constitutes permission for Arrow Leadership to use your likeness in promotional materials. Applicant Signature: www.arrowleadership.org Date: Arrow Leadership Program Application – Executive Stream Page 8 of 10 PAYMENT INFORMATION PAYMENT AND FEE INFORMATION 1. 2. 3. 4. Application fee - $100 non-refundable (not part of the total program fees) Confirmation fee - $1000 non-refundable (sent in at time of acceptance of program) $4000 one month prior to first residential $2500 a quarter for remainder of program (4 payments) A complete payment schedule will be provided with your acceptance package. Penalty for late payment is 8% (per annum) up to six months. If payment is further than 6 months in arrears, it is Arrow’s practice to suspend the leader from participation in the program. In the case of emergency, deferral is a provision. APPLICATION FEE Please find enclosed a $100 check made payable to Arrow Leadership Please charge the $100 application fee to the following credit card: Name on Card: VISA ______________________________ MasterCard Expiration: Card # CVD: Signature: ________________________ (3-digit security code on back of card) ___________________________ PROGRAM FEES Which payment option is preferable? Post-dated checks as per payment schedule Sign up for monthly pre-authorized debit withdrawals Charge my Visa as per payment schedule Invoiced according to payment schedule on 30-day terms Credit Card Information for Program Fees (complete only if paying by credit card): Check here to use the same card as listed above Name on Card: VISA ______________________________ MasterCard Expiration: Signature: Card # CVD: ________________________ (3-digit security code on back of card) ___________________________ ADDITIONAL FEES (Optional): Spouse or key supporter visit at Residential Three: approx. $350 (includes program, accommodations, food and graduation banquet) www.arrowleadership.org Arrow Leadership Program Application – Executive Stream Page 9 of 10 REFERENCE FORM: BOARD/CEO/SUPERVISOR Please send completed form to: admissions@arrowleadership.org or fax to 604.864.6493 APPLICANT Last Name, First name:_____________________________________ REFERENCE Last Name, First Name:_____________________________________ Direct Phone line: _________Personal Email: Mailing address:____________________________________________________________ City: ____State/Province: Organization: Country: ___Postal / Zip Code: _____________________________________________________________ Position: ____________________________ How long have you know the applicant? Relationship to applicant: Yes, I support the applicant’s desire to participate in the Executive Leader Stream of the Arrow Leadership Program. 1. What would you say are the applicant’s greatest strengths? 2. What do you perceive to be the applicant’s areas for needed growth? 3. Please rate the leader on the following areas (1 = Weak, 5 = Strong) and comment below: 1 2 3 4 5 Clarity of vision Heart for God Worldwide ministry focus Leadership Competency Teachability/Response to authority Comments: 4. Is there anything else we should know as this leader applies to participate in a transformative leadership opportunity? Reference Signature: www.arrowleadership.org __________________Date: Arrow Leadership Program Application – Executive Stream Page 10 of 10