CPC25 Breakout Speaker Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
I affirm that I have read the Breakout Speaker Information document.
Yes
No
I affirm that I have read the INCM Statement of Faith and agree to teach within that framework. https://incm.org/about/
Yes
No
Organization and Church Name
Bio (50 words or less please)
Please submit your high-quality headshot in .jpeg format 200 x 200 pixels (Ratio 1:1). (please refrain from submitting social media photos): Submit your headshot below.
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Website (if you don't have a personal website, please list your church's website):
Please list URL links to your active Social Media platforms (the link should lead directly to your page)
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Personal Overview
I affirm that I have an active and growing relationship with Jesus.
Yes
Do you currently serve in your local church?
Yes
No
What statement best describes how you currently engage with the children's ministry leader community (outside of your church)?
Mostly online via social media sites.
I have a group of Children's Ministry leaders outside my church that I connect with on a regular basis.
My job/position requires me to interact with Children's Ministry leaders outside my church.
I don't really interact with the Children's Ministry leader community outside my church.
Have you ever attended CPC?
Yes
No
For you, what would be the value of speaking at CPC? What is your win?
Have you or your organization applied or plan on applying as Resource Provider in the Resource Center at CPC25?
Yes
No
If you answered "yes" to the previous question, please list the organization.
I affirm my understanding that no selling or promotion of products will happen within the breakout setting.
Yes
No
Do you acknowledge that your status as a provider does not guarantee you a spot as speaker?
Yes
No
Would you be interested in serving as a coach at CPC?
Yes
No
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Speaking/Training Experience
Which statement best describes your level of speaking/training experience?
Somewhat Experienced - I primarily facilitate training at my church (online or in-person).
Experienced - I primarily train within my church but some outside my church (online or in-person).
Professional - I primarily train in professional ministry settings outside my church (online or in-person).
Have you ever spoken at CPC?
Yes
No
If the answer to the previous question is yes, how many years have you participated in CPC as a speaker? (give an estimate if you are unsure)
If you have NOT spoken at CPC before, we'd love to get to know you a little more. Please provide a 2-minute video introduction of yourself sharing 1 - your role in children's ministry and 2 - what you love most about the children's ministry leader community. (The video does not have to be professional. You can do it on your phone). (USE THIS LINK) https://www.dropbox.com/request/s1NigR7Nl4gJWNcuvPkF
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Please list any other Children's or Family Ministry related conferences that you've participated in as a speaker, online or in person. If none, type "none".
If you have NOT spoken at CPC before, please provide the name, email, and phone number of a ministry leader (not related to you) that can speak to your training and speaking ability. Please be sure you have asked their permission first.
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Breakout Submission #1
The remainder of the application will gather information about your topic submissions. Titles and descriptions are key elements to your submission. Keep titles and descriptions clear, concise, and direct. The person reading this information should know exactly what the breakout will cover.
Breakout Title
Breakout Description (75 words or less)
Category (select 1 of the following options that BEST fits your breakout topic)
Leadership
Volunteers
Discipleship
Parents and Family
Ministry Administration and Approach
Please indicate the experience level of the leader who would benefit most from the way you would present this breakout content.
Just starting out (years 1-5)
Developing (years 5-15)
Advancing (years 15-30)
Seasoned (years 15-30+)
Have you presented this breakout before?
Yes
No
What question(s) does your breakout answer for the leader? (this does not have to directly correlate to the questions provided in the application guide)
If you have another submission, please continue. If not, click submit.
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Breakout Submission #2
Breakout Title
Breakout Description (75 words or less)
Category (select 1 of the following options that BEST fits your breakout topic)
Leadership
Volunteers
Discipleship
Parents and Family
Ministry Administration and Approach
Please indicate the experience level of the leader who would benefit most from the way you would present this breakout content.
Just starting out (years 1-5)
Developing (years 5-15)
Advancing (years 15-30)
Seasoned (years 15-30+)
Have you presented this breakout before?
Yes
No
What question(s) does your breakout answer for the leader? (this does not have to directly correlate to the questions provided in the application guide)
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Submit
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Breakout Submission #3
Breakout Title
Breakout Description (75 words or less)
Category (select 1 of the following options that BEST fits your breakout topic)
Leadership
Volunteers
Discipleship
Parents and Family
Ministry Administration and Approach
Please indicate the experience level of the leader who would benefit most from the way you would present this breakout content.
Just starting out (years 1-5)
Developing (years 5-15)
Advancing (years 15-30)
Seasoned (years 15-30+)
Have you presented this breakout before?
Yes
No
What question(s) does your breakout answer for the leader? (this does not have to directly correlate to the questions provided in the application guide)
Submit
Should be Empty: