Sample Church Planting Application

Choose the answer which best describes you and your planting process.

Administration

Q1: Please Fill in Your Name.
First Name:

Last Name:

Q2: Please type in your email address
Email:

Questions

Q3: How Many Years Have You Been A Christian?
Less than 5 years
6 to 10 years
More than 11 years

Q4: Where are you in the process of planting a church?
Calling Stage - I feel called to plant a church but see that it will be more than 18-24 months from now.
Beginning Stage - I have begun to draw up plans and recruit people to support these plans: fundraising, getting volunteers, asking for prayer.
On the path Stage - I have gathered a group of core adults committed to this church plant. We are meeting regularly and have identified a place to worship.
Launch Stage - I have 45+ core group members and are readying for a public launch.

Questions

Q5: Do you know the launch country for your church start?
Country:

Q6: Do you know the launch state or province?
State:

Q7: Do you know the launch city?