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IMP/HN Church Information Form
Church Name
*
*Please enter the FULL name (ie. Central Church of Christ, instead of Central)
Which HOPE Network/Interim Ministry Partners representative(s) is working with your church?
*Check all that apply.
Jimmy Adcox
Greg Anderson
Jon Anderson
Mark Frost
Chris Goldman
Carlus Gupton
Evertt Huffard
Brent Isbell
Jay Jarboe
Grady King
Jim Martin
Rob McRay
Jon Mullican
Doug Peters
Rodney Plunket
Steve Shaffer
Matthew Soper
Jason Thompson
Other
Please specify the name of the IMP/HN Representative who is working with your church.
Church Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Church Phone Number
Church Website
Average Sunday Attendance in the Last 12 Months
0-50
50-100
100-150
150-200
200-250
250-300
300-350
350-400
400-450
450-500
500-750
750-1000
1000+
Annual Giving
Annual Budget
What year was the congregation founded?
What year did the congregation arrive at its current location?
How many FULL TIME ministers are on staff?
*
0
1
2
3
4
5
6
7
8
9
10
11
12
How many PART TIME ministers are on staff?
*
0
1
2
3
4
5
6
7
8
9
10
11
12
How many FULL TIME support people are on staff?
0
1
2
3
4
5
6
7
8
9
How many PART TIME support people are on staff?
0
1
2
3
4
5
6
7
8
9
Ministerial Positions on Staff
*
*Please check all that apply.*
Pulpit/Preaching/Lead Minister
Administrative/Executive Minister
Associate Minister
Congregational Care Minister
Adult Education Minister
Small Groups Minister
Involvement Minister
Worship Minister
Outreach Minister
College/Campus Minister
Youth/Student Minister
Children's Minister
Other (see next question)
Additional Ministry Staff
Please list any additional ministry staff positions in the space below. Use the + sign to the right to add each additional position.
Name, Position, and Contact Info (Email and/or Phone) for MINISTERS
Use the + sign on the right to add additional entries.
Position
First Name
Last Name
Email
Phone
What year did the current preaching minister arrive? (not applicable to interim ministers)
What is the name of the previous preaching minister?
First
Last
What years did the previous preaching minister serve?
What year was the last Elder Selection Process held?
How many Elders/Shepherds currently serve?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26+
Name and Contact Info (Email and/or Phone) for ELDERS/SHEPHERDS
Use the + sign on the right to add additional entries.
First Name
Last Name
Email
Phone
What year did the church establish its current vision?
Type of Service Provided by HOPE Network
*
Leadership Team Consult
Thomas-Kilmann Conflict Mode Instrument (TKI)
Grip Birkman Blueprint (GBB)
IMP Seminar
IMP Full Service
IMP Consult
Vision/Mission
Leadership Coaching
Shepherd Training
Governance
Stuck
Marriage Care
Retreat
Training/Workshop
Other
Please specify.
How did you learn about HOPE Network?
Word of Mouth
Website
News Article
Advertising
At a Conference
Other
Which Conference?
Please specify.
What is your name?
First
Last
What is your role/position at this church?
What is your phone number?
What is your email address?
Comments
This field is for validation purposes and should be left unchanged.
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