Church Assessment"*" indicates required fieldsHiddenCenterCONTACT INFORMATIONChurch Name*Church Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninLong shortsBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCape VerdeCambodiacameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaIvory CoastDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaeritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreecegreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepubliclatvialebanonLesothoLiberialibyaLiechtensteinlithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratmoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsnorwayOmanPakistanpalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandspolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaReunion IslandSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagotunisiaTurkmenistanTurks and Caicos IslandsTuvaluTurkeyU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, USWallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Church PhoneChurch Website Representative Name* First Last Representative Email* Representative Office PhoneRepresentative Mobile PhonePreferred Language*EnglishFrenchSpanishMandarinHow did you hear about us?WebsiteInternet searchChurchFriendEmailPhone NumberDirect MailSessions DatesFacebookInstagramLinkedInTwitterYouTubeSocial MediaChristian ChamberRadioOtherCHURCH INFORMATIONChurch Congregation Size*How long has your church been in existence?Annual Revenue< US$100KUS$100K to < US$500KUS$500K to < US$1MUS$1M to < US$3MUS$3M and aboveWhat is your greatest pain?How urgent is the help that you need?INTERESTAreas of Interest Marketplace resources for our members and community Coaching for the pastor and church leadership Earned income strategies for our church Community and networking opportunities with other church leaders engaged in earned income activities and marketplace ministries OtherOther Areas of InterestADDITIONAL INFORMATIONDo you have a strategic plan for your church? Yes NoAre your congregation’s tithes and offerings sufficient to meet your annual budget? Yes No Not SureDo you have adequate members who give beyond the tithe? Yes No Not SureDo you have an active Marketplace Ministry in your church? Yes NoDo you have active earned income projects? If so, what are they? Space Rental Real Estate Cafe Day Care Center Sports Center Business Center School Events Publishing OtherOther Earned Income ProjectsThis site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.Phone NumberThis field is for validation and Purposes Should Be UNCHANGED left.
