Raw Score for this Application: 7 out of 40 - 17.5% <br /><br/>Q1. Please enter the following: First Name, Last Name  <br/><b>First Name:</b><input type="text" name="fname" value="" size="40" /><br/> <br />
                <b>Last Name:</b> <input type="text" name="lname" value="" size="40" /> <br/><br />Q2. Ministry and Community Involvement  <br/>
            
<table cellspacing="0" cellpadding="1" border="1"  id="CERT">
	<thead>
	<tr>
		<td>
		<b>NAME OF Ministry</b></td>
		<td>
		<b>How long were you apart of this ministry?:</b></td>
        	<td>
		<b>What role did you serve?:</b></td>

	</tr></thead><tbody> 
        
            

</tbody></table>         
           <br /><br />Q3.   Did you leave in good standing?   <br/><input type="radio" id="1394" value="1394" name="3" checked="checked"> <label for="1394"> Yes </label><br />
    <input type="radio" id="1395" value="1395" name="3" checked=""> <label for="1395"> No </label><br />
    <br />Q4. If your answer is no, please provide supporting details.  <br/>
                    <textarea rows="3" name="4" cols="50" style="margin-right: 40px; vertical-align: middle;">Input</textarea>
        <br /><br />Q5.  How would you describe your OVERALL personal financial status? (We will pull your credit report as part of our background check process, should you choose to go through the church planting process with Christian Alliance of Pastors, Inc.)  <br/><input type="radio" id="1397" value="1397" name="5" checked="checked"> <label for="1397"> Excellent </label><br />
    <input type="radio" id="1398" value="1398" name="5" checked=""> <label for="1398"> Good </label><br />
    <input type="radio" id="1399" value="1399" name="5" checked=""> <label for="1399"> Poor </label><br />
    <br />Q6. Have you filed for bankruptcy within the last 10 years?   <br/><input type="radio" id="1400" value="1400" name="6" checked=""> <label for="1400"> Yes </label><br />
    <input type="radio" id="1401" value="1401" name="6" checked="checked"> <label for="1401"> No </label><br />
    <br />Q7. If yes, explain.  <br/> <input type="text" name="7" value="Input" size="40" /><br/>
      <br />Q8. Are there any liens or judgments pending against you?   <br/><input type="radio" id="1403" value="1403" name="8" checked=""> <label for="1403"> Yes </label><br />
    <input type="radio" id="1404" value="1404" name="8" checked="checked"> <label for="1404"> No </label><br />
    <br />Q9. If yes, explain  <br/> <input type="text" name="9" value="Input" size="40" /><br/>
      <br />Q10. What are your total assets?  <br/> <input type="text" name="10" value="10 M" size="40" /><br/>
      <br />Q11. What are your total liabilities (include your total mortgage amount)?  <br/> <input type="text" name="11" value="2 M" size="40" /><br/>
      <br />Q12.   What is your net worth (Total assets - Total liabilities)?   <br/> <input type="text" name="12" value="8 M" size="40" /><br/>
      <br />Q13. Do you own a home?  <br/><input type="radio" id="1554" value="1554" name="13" checked=""> <label for="1554"> Yes </label><br />
    <input type="radio" id="1555" value="1555" name="13" checked=""> <label for="1555"> No </label><br />
    <br />Q14. What is the market value of your home?  <br/> <input type="text" name="14" value="" size="40" /><br/>
      <br />Q15. What is the current mortgage amount of your home?  <br/><input type="radio" id="1557" value="1557" name="15" checked=""> <label for="1557"> 200,000 or less </label><br />
    <input type="radio" id="1558" value="1558" name="15" checked=""> <label for="1558"> 200,001 to 400,000 </label><br />
    <input type="radio" id="1559" value="1559" name="15" checked=""> <label for="1559"> 400,001 to 600,000 </label><br />
    <input type="radio" id="1560" value="1560" name="15" checked=""> <label for="1560"> 600,001 to 800,000 </label><br />
    <input type="radio" id="1561" value="1561" name="15" checked=""> <label for="1561"> 800,001 + </label><br />
    <br />Q16.  How much total debt do you currently have other than your mortgage (car loans, school loans, credit cards, department store cards, home equity loans, personal loans, etc.)?   <br/><input type="radio" id="1562" value="1562" name="16" checked=""> <label for="1562"> 15,000 or less </label><br />
    <input type="radio" id="1563" value="1563" name="16" checked=""> <label for="1563"> 15,001 to 35,000 </label><br />
    <input type="radio" id="1564" value="1564" name="16" checked=""> <label for="1564"> 35,001 to 55,000 </label><br />
    <input type="radio" id="1565" value="1565" name="16" checked=""> <label for="1565"> 55,001 to 75,000 </label><br />
    <input type="radio" id="1566" value="1566" name="16" checked=""> <label for="1566"> 75,001 + </label><br />
    <br />Q17. How much do you have in personal savings (do not include retirement accounts- 401k, 403b, TSA, Traditional IRA/Roth, Pension Plan, etc.)?   <br/><input type="radio" id="1567" value="1567" name="17" checked=""> <label for="1567"> 20,001 + </label><br />
    <input type="radio" id="1568" value="1568" name="17" checked=""> <label for="1568"> 10,001 to 20,000 </label><br />
    <input type="radio" id="1569" value="1569" name="17" checked=""> <label for="1569"> 5,001 to 10,000 </label><br />
    <input type="radio" id="1570" value="1570" name="17" checked=""> <label for="1570"> 0 to 5,000 </label><br />
    <br />