iThink Application Form
“Equipping experienced senior pastors and church leaders to discover new ways of thinking for the building of God’s Kingdom.”
Name
Church Name
Address
City
State
Zip
Phone - Work
Home
Cell
Check the box following the phone number at which you prefer to be contacted
Assistant's Name
Assistant's Phone
Assistant's Email
Your Preferred Email
Church's Website
Are you the founding pastor?
Yes
No
Years served as Senior Pastor at this Church
Church Data
_______
______
Staff Size
Weekend Worship Attendance (Adults and Children)
Sunday School and Small Group Average Attendance
Denomination
Year Church Founded
Personal Information
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_____
________________________
Birth date
mm/dd/yy
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/
Hobbies
Favorite Music
Years Served as a Senior Pastor
What is your personal purpose/mission statement?
What is your personal vision statement?
What are your strengths?
What challenges or opportunities would you like to address?
What do you not know but would like to learn?
What five (5) books or articles have you read recently that made an impact on you?
1.
2.
3.
4.
5.
What websites have you found to be helpful to you?
Name the top five (5) people with whom you would like to dialogue?
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2.
3.
4.
5.
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“For as he thinks within himself, so he is.”