WDC Leadership Transformation Grant Application Form Leadership Transformation Grant Application Name* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*If applying to attend Lead for Change, list all team members’ names and contact information:Your role(s) in your congregation, WDC or other organizations:*Name and location of your congregation*Have you informed your congregational leadership about your plans to apply for this grant?*YesNoKansas Leadership Center program you plan to attend:*When Everyone LeadsYour Leadership EdgeLead for ChangeProgram dates you plan to attend*Explain why you are interested in attending KLC training and how you might implement what you learn:*If you are applying to attend Lead for Change, what is the challenge that your team plans to work on?CAPTCHA