PASTOR SURVEY – Grace Communion Surrey Hills

PERSONAL INFORMATION

Full Name *

First

Middle

Last

Preferred Name (If different from above)

Birthdate//

Spouse's Full Name

First

Last

Spouse's Preferred Name (If different from above)

First

Last

Spouse's Birthdate//

Wedding Anniversary

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Work Phone

Cell Phone

Email *

Do you have children? (If so, please give name and ages)

MINISTERIAL INFORMATION

Full name of the congregation(s) you currently pastor

How long have you pastored this congregation?

What day are your worship services?

Service time

Building in which your congregation meets:

Church Address

Address Line 1

Address Line 2

City

State

Zip Code

Church Hall Phone Number

Describe your current position:

Do you have a GCI camp in your are? If so, which one:

Describe your congregation's involvement:

Do you have a college degree? (Please describe)

Are you currently taking a class from (ACCM) Ambassador College of Christian Ministry or (GCS) Grace Communion Seminary:

Yes
No

If yes, please list the class you are taking currently:

Name of your treasurer (for emergency purposes only):

First

Last

Home Phone

Work Phone

Cell Phone

Email *

PERSONAL INTERESTS

What hobbies or fun things do you do to relax? (Explain)

HELPFUL INFORMATION

Best time of the day for me to call you

Morning
Afternoon
Evening
Anytime

Based on your personality and work style - what would you say best describes the degree of interaction you would like from me as your Regional Director:

How can I best serve you: (Please feel free to speak openly)

Signature