Embassy Academy | All Access Payments

STEPS TO APPLY FOR THE
ALL-ACCESS WITH PAYMENTS

TOTAL: $5000*

* Your credit card will automatically be charged in installments of $1000 per month for the next 5 months

1. Complete the form below. All fields are required.

2. Submit the form. You will be taken to the payment screen.
In most cases, we will schedule a brief follow-up phone interview.
You can expect to hear back within 7-10 days max.

3. Once payment is complete, your application and acceptance will
be finalized. You will receive further instructions by email.

NOTE: You will only be charged for the primary applicant.
If you select for your spouse to also attend, please make
sure to indicate such on LINE 6. The extra fee ($1250) for
your spouse must be paid in full at Session 1 by Paypal or
Credit Card. No personal checks will be accepted.

** Due to limited availability, no application is considered final until payment has fully processed.

ALL FIELDS ARE REQUIRED

Choose Your Package

First Name

Last Name

Phone

Shipping Address

Country

City

State

ZIP

Age

T-Shirt Size

Marital Status

< Will Your Spouse Join? >

Spouse First Name

Spouse Last Name

Spouse Email

Your Salvation Experience (Primary Applicant for all Remaining Questions)

Ministry/Leadership Experience

Pick One that Best Describes You

Leader Follower Administrator Visionary Entrepreneur Intercessor Passionate Participant Other

Church/Ministry Philosophy

Primary Gifts / Passions

Personal Weaknesses

Why are you particularly interested in Ekklesia Academy and not another program?

Why Are you Choosing "All Access" over the "Core Experience" (check all that apply)

I am zealous for more understanding of the ekklesia I want the full experience I want to leave my options open for Level 2 Certification in the future I fully intend to pursue Level 2 Certification I am not tech-savvy enough to trust the Core Experience will work

Other Reasons

If you answered "I want the full experience," what do you value most

Deeper Discipleship Personal Mentoring Relationship Building / Networking Premium Turnkey Services (everything is done)

Other Priorities

Travel costs are in addition to course fees, and up to each applicant to secure on your own. We do not offer travel assistance, except for shuttle transfer to and from the airport. Have you properly budgeted your travel expenses, whether by car or flight?

Yes No

Understanding your plans may change, at this point, how do you intend to travel to KC each month?

Fly Drive A mix of both Don't know yet

Within the limits of your ability to anticipate your own circumstances, are you prepared to commit to attend at least 4 of the 5 in person Gatherings in KC?

Yes No

You understand and agree that intercession is a key focus of Ekklesia Academy, that group dynamics require every participant to be active, not passive, while also showing deference to others.

Yes No

Please advise on any other pastoral or health concerns we should be aware of

Food Allergies

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Embassy Academy | All Access Payments

STEPS TO APPLY FOR THE ALL-ACCESS WITH PAYMENTS

TOTAL: $5000*

* Your credit card will automatically be charged in installments of $1000 per month for the next 5 months

ALL FIELDS ARE REQUIRED

STEPS TO APPLY FOR THE
ALL-ACCESS WITH PAYMENTS