Exponential Roundtables Online Application To Become a Host Application Process Step 1 - Decide Review Host Church Prospectus Step 2 - MOU Review Host Church MOU Step 3 - Apply Fill Out the Online Application BELOW Online Application Takes 5 Minutes to Complete Step 1 of 4 25% Host Organization - Basic Information Host Organization Name * Address * Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Website Address * Host Organization - Lead Contact Contact Information of Lead Coordinator within Host Organization Name * First Last Email * Phone * Hosting Capacity We have access to a facility capable of (select all that apply): * Seating at least 100 people at round tables (12 tables with 8 people per table) Projecting high-quality video on screen(s) easily viewable by all attendees Quality sound system easily heard by all attendees We have the reputation and influence in our geographic area to attract and convene 50+ attendees * Yes No We have convened and hosted other gatherings of 100+ people in the past 2 years * Yes No Moving Forward Please identify any other churches, association of churches, local networks, and / or other ministries that you would seek to collaborate with in hosting this Roundtable Event. You are not required to secure any of these partnerships to be considered for hosting. This question is to help us understand your intentions. If approved as a host, are you ready to move forward with scheduling a roundtable event? * Yes No Agreement with Memorandum of Understanding (MOU) * I've read and agree with the Host Organization MOU (Memorandum of Understanding)!