FIRST LEADER PAYMENT REQEUST

Please complete and submit the form below to request your $500 payment at the start of your cohort.

Please note that all participant’s must be registered and have made a minimum payment of $500. Leadership payments are processed during our biweekly payroll.

Cohort Leader Name

First Name

Last Name

Cohort Number

Cohort Leader Email

Have your W9 & Direct Deposit forms been submitted?

If not, please download the forms from the Leader Resources page of our website and follow the instructions to upload them to our secure portal.

Yes

No

Cohort Start Date

Anticipated Cohort Graduation Date

Regional Representative Name

First Name

Last Name

NLT Member Name

First Name

Last Name

Notes

Please use this space for any additional information we should know.

Do you have a co-leader/assistant?

If so, please tell us their name and email.

What percentage of your cohort leader payment would you like your co-leader/assistant to receive?

FIRST LEADER PAYMENT REQEUST

info@theBonhoefferProject.com • P.O. Box 6443, Oceanside, Ca 92052

MAIL PAYMENTS/DONATIONS TO:

The Bonhoeffer Project
PO Box 6443
Oceanside, CA 92052