Church Planter

Your Information

Name *

First

Last

Phone Number *

Birthdate (MM/DD/YYYY) *

Marital Status *

Single Married Divorced

Mailing Address *

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City

State

Zip Code

Country

Email Address *

Bible School Attended *

Graduation date or reason for not graduating (if applicable) *

Your Salvation Testimony *

Details regarding your calling *

Specific ministries you have been involved in *

Have you ever been asked to leave a ministry or ministry position, and if so, why? *

Your Church and Sending Agency

Your Missions Agency or Board *

Pastor's Name *

First

Last

Pastor's Phone Number *

Your Sending Church *

Your Sending Church Address *

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City

State

Zip Code

Country

Your Family (if applicable)

Wife's Name *

First

Last

Wife's Birthdate (MM/DD/YYYY) *

Wife's Salvation Testimony *

Details regarding your wife's calling *

Number of children living with you *

Names and birthdates of children (MM/DD/YYYY) *

Your beliefs and practices

Define/Explain your position on the following.

Version of the Bible you use and why. If you will be required to utilize a foreign language's translation, explain why you chose the translation that you did and how you will handle any variances between your English version and the foreign translation. *

Charismatic Movement (tongues, sign gifts, contemplative prayer, etc.) and the Emergent Church *

Requirements for salvation *

Predestination *

Water Baptism *

Alcoholic Beverages and Tobacco Products *

Please provide a web link to your preaching or presentation (preferably preaching) *

Your current travel schedule

When will you be in the Ohio area? *

Your field

City and Country you are called to *

What is your needed monthly support? *

How long have you been on deputation? *

What percentage of that support have you already raised? *

Your Goals

Is your goal to plant and pastor a New Testament Church which is evangelistically-minded, autonomous, and self-supporting? *

Yes No

What are your plans to accomplish the goal of being self-supporting? *

What are your plans to accomplish the goal of being evangelistically minded? *

Based on your research and/or discussions with other church planters in the area, do you have an idea how long it will take to accomplish these goals? *

Do you plan to use any of your support for anything other than the needs of your ministry and personal well-being (i.e., salary of another pastor or other ministry)? Explain: *

If you cannot accomplish your goal of self-support by the expected time, are you opposed to working bi-vocationally (taking on another job) to allow you to preach while still providing for the needs of your family? *

Yes No

Will you stay in contact and let us know of your progress through quarterly correspondence (at a minimum)? *

Yes No

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