NCBP Presenter Application
Instructions: Save this form to your hard drive before you continue. Fill in the form by typing your answers and tabbing from one field to another. Print out the completed form and submit it along with your $35 non-refundable application processing fee. Also email the form to . Please send us a picture of yourself either with the email or in the mail. Mail the application, check, and picture to the National Center for Biblical Parenting, 76 Hopatcong Dr, Lawrenceville, NJ 08648.
PERSONAL DATAName / Home Phone
Address / Cell Phone
City/State/Zip / Work Phone
Email Address / Date of Birth
Occupation / Gender
Male Female
Social Security Number
Have you ever been convicted of a felony? If yes, please explain:
Have you attended a live Parenting is Heart Work seminar? If so, when? Where?
Do you or have you homeschooled your children?
Marital Status / Name of Spouse
Have you been divorced? If yes, please explain:
NAMES AND AGES OF CHILDREN AND GRANDCHILDREN
NAME / AGE
National Center for Biblical Parenting • 76 Hopatcong Dr. Lawrenceville, NJ 08638 • • (609) 771-8002
NAME OF INSTITUTION / YEARS ATTENDED / EMPHASIS OR DEGREE COMPLETED
HIGH SCHOOL
COLLEGE
OTHER
EXPERIENCE Please include all relevant employment and ministry opportunities
DATES / DESCRIPTION
Please give your testimony including approximate date of commitment to Christ.
Describe your present church involvement. Include the church name, denomination, and ways that you are presently involved in it.
How would you advise a parent who comes to you with this question: "My ten-year-old son wants to know how he can get to heaven. How can I explain that to him?"
Why are you interested in being a Presenter and training parents?
What do you feel are your strengths in teaching a Parenting is Heart Work seminar?
National Center for Biblical Parenting • 76 Hopatcong Dr. Lawrenceville, NJ 08638 • • (609) 771-8002
PASTOR OR CHURCH LEADER / PHONE NUMBER AND EMAIL
OTHER REFERENCE THAT CAN VOUCH FOR YOUR TEACHING ABILITY / PHONE NUMBER AND EMAIL
How many church seminars might you be interested in teaching per year?
Are you interested in teaching parts of the seminar and manning a display table at:
denominational conventions?
homeschool conferences?
national conferences and events?
Thank you for taking time to fill out this application. Although we have a rather stringent screening process of potential presenters, once you're accepted it is our desire to treat you with honor in every way possible. Please be praying for yourself and us as we continue in the application process.
National Center for Biblical Parenting • 76 Hopatcong Dr. Lawrenceville, NJ 08638 • • (609) 771-8002