Executive Stream Application

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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:
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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
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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
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