Education

LOGIN INFORMATION

Username

Password

Contact First Name*

Contact Last Name*

Contact Title

Contact Email*

Contact Phone*

Country*

City*

State*

Postal/Zip Code*

Organization Full Name*

Abbreviation*

Web Address*

Description

Affiliated Organizations

Approval is faster if affiliated with one of the above organizations. Select at least one choice. See brief description of Affiliated Organizations.

If your organization is a current partner with Journey, enter “Journey Partner” for each of the next three fields

Board of Directors*

Statement of Faith*

References*

Must check to agree with Partnership Agreement to submit Application.

Partnership Agreement*

Check to Agree with Terms and Conditions | Link to Privacy Policy

Terms and Conditions*

* Required