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            _______                                              ________________________

 Birth date mm/dd/yy  / /

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? 
   1.
   2.
   3.
   4.
   5.

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“For as he thinks within himself, so he is.”