We would like to get to know you

Your Name

Your Spouse's Name (If Applicable)

Any Children?

Address

Email Address

Phone Number

Facebook username

Are you currently Credentialed? What level?

What is your current ministry position or career?

Where are you currently located?

Where are you thinking of planting?

I am trying to decide if I want to plant

I am ready to plant or already started

What have you already done? (not in any particular order)

Connected with Sectional Leadership

Talked to District Office

Taken Online Assessment

Found a Coach

Gone to a Training

Applied with the District

Applied with the State

Applied for Funding

Tell us about yourself

Where are you going to church now

Who is your pastor currently?

May we contact your current pastor?

Yes

No

What is your pastors contact info - (If no then any explanations why not?)

How are you serving in church life currently?

Church Planter Profile Initial Assessment:

We only need the initial free screening

Go to http://churchplanterprofiles.com/cake

Under Agency Choose: Pen-Florida Church Planting

Once you have completed it, list below the score you got in each of the categories of the test

Overall Score

Church Planting

Entrepreneurial Leadership

Ministry Experience

Relational Evangelism

Great! We look forward to getting to know you better.

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