Thriving Congregations: Application for Participation

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* 1. Pastor

Full Name

Address

Phone

Email

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* 2. Leader

Full Name

Title (if applicable)

Address

Phone

Email

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* 3. Leader

Full Name

Title (if applicable)

Address

Phone

Email

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* 4. Church or Ministry

Name

Address

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* 5. Describe the mission and purpose of your church or ministry. What is the mission and vision of the church and how does your work accomplish that mission and purpose? You may include with your application any publications that may help the selection committee understand your ministry.

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* 6. Number of years the church has been in existence.

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* 7. Prior pastoral role(s)

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* 8. Number of hours your ministerial team devote to ministry per week

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* 9. Who is the primary audience for the services provided by you or your church or ministry? Consider such things as age, gender, ethnic group, geographic location, common needs, etc. (Q: Do you consider your congregation multi-ethnic, or primarily Latino, or other...)

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* 10. Participation in the Thriving Congregation program requires a training once every third month, external and internal assessment activities for your congregation and a time for technical assistance/coaching in rotating months (3-month cycle). What steps would you and your ministry team take to make yourselves available for the extent of the learning experience without negatively impacting your families or spiritual health?

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* 11. I have reviewed the participation requirements for Thriving Congregations program. I have the support and encouragement of my family and my church or ministry to participate in this program.

Yes

No