Young Leader Roundtable Application – Fall 2025 Young Leader Roundtable Application – Fall 2025 Name Email Date of birth Phone Marital Status Single Married Are you currently being intentionally mentored? Yes No Would you be willing/able to commit to 8 scheduled breakfast/lunch gatherings? (dates finalized soon) Yes No Briefly describe the positives and negatives of your current work experience: Briefly describe your professional goal and/or dreams: What are some of your current personal and professional growth areas? How would you characterize your spiritual journey at this time? Send
