Leadership Training Institute (LTI) Registration Form

Thank you for your interest in our Leadership Training Institute (LTI) course.


Please complete the form below and send the written reference/consent of your Pastor/Spiritual Leader on letterhead to us via email at contact@mygwcc.org or via fax at 860.270.0331.


    Your Name (required)

    Your Email (required)

    Address (required)

    City (required)

    State (required)

    Zip (required)

    Telephone (required)

    Gender (required)

    Emergency Contact Name (required)

    Emergency Telephone (required)


    Have you accepted Jesus Christ as your personal savior? (required)

    Church Name (required)

    Pastor/Spiritual Leader's Name (required)

    Are you currently serving in leadership role at your church? (required)

    If yes, please list role(s) below:

    How long have you been serving in your role(s)?


    Have you previously completed any other leadership course? (required)

    If yes, please list the course name(s) below:

    Please share what you expect to gain from this course: (required)


    Please share any additional comments: