Church Planter Form Date / Time * Please give your testimony of salvation: * Please give your testimony of being called by God for ministry: * Please give your testimony on the burden of planting a church: * Personal Info: Name * First Last Telephone Number * Email Address * Any other info to contact you: Family Info: What is your wife's name? How long have you been married? Do you have children? Yes No If yes, what are their names and ages? Have you been divorced? * Yes No Is there any critical information you would like us to know about your family? Hobbies / Interest: Are you and your wife using social media? Yes No If so, what are your handles? School / Experience Info: Where have you attended school? Ministry and Secular related. What was your degree(s)? What ministry experience do you currently have? What ministry experience does your wife have (if applicable)? Church Info: Sending church: * Pastors name? Pastors contact information: Mission agency (if any)? What is your current position at your local church? Are you full time / bi-vocational? How many hours each week do you devote to some type of ministry excluding scheduled church services? Work Info: Do you currently have a secular job? Yes No Do you have any secular experience that would help in the church plant? What are your thoughts of being bi-vocational in the church plant? Finance Info: What does your debt structure look like? Credit cards? Car? Mortgage? Unsecured loan? School? If so, excluding your mortgage please choose which is correct for you: 1 to 20,000 20,000 to 50,000 50,001 What is your annual income? Does it meet your needs? Yes No Do you have a working budget in place? Yes No Have you planned for retirement? Yes No If so, what does it look like? Do you currently have insurance? Medical Life Select those that you have. Burden Info: What location do you have a burden to plant a church? If not, would you be open for suggenstions? Yes No Have you started raising funds for church plant? Yes No What is your timeline on the church plant? What is your current percentage of support obtained? Doctrinal & Preference Info: What version of Bible do you use? * What is your stance on church music? * What is your stance on creation? * What is your stance on baptism? * What is your stance on salvation? * What is your stance on the trinity? * What is your definition of church? * Local & Visible Local & Invisible Universal & Visible Please explain why you chose your above answer: * What are your thoughts on Calvinism? *
