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NewStart Registration Form
Information reported by:
District Superintendent
District Personnel
Pastor
Sponsor Pastor
Lay Leader
District:
Church Number:
Official NewStart Name:
Pastor's First Name:
Pastor's Last Name:
Spouse Name:
Pastor's Mailing Address:
City:
State:
Zip:
Pastor's E-mail:
Pastor's Home Phone:
Pastor's Mobile Phone:
Which district holds the pastors credentials?:
Is the pastor serving at any other assignment?:
Co-Pastor's First Name:
Co-Pastor's Last Name:
NewStart's Mailing Address:
NewStart's City:
NewStart's State:
NewStart's Zip:
NewStart's Email:
NewStart's Phone Number:
Would you describe your new congregation as
...Emergent:
Yes
No
Would you describe your new congregation as...a Multi-Site?:
Yes
No
Would you describe your new congregation as...a Compassionate Ministry?:
Yes
No
Would you describe your new congregation as...Multicultural?:
Yes
No
Would you describe your new congregation as...a NewStart?:
Yes
No
Would you describe your new congregation as...Multicongregational?:
Yes
No
Other description of new congregation?:
Targeted Cultural Group of Congregation:
Spoken or Written Language Preferences:
Pastor Assessed?:
Yes
No
FAX:
NewStart's Street Address (For UPS Mailings & Comoputer Mapping):
City: (For UPS Mailings & Computer Mapping):
State: (For UPS Mailings & Computer Mapping):
Zip: (For UPS Mailings & Computer Mapping):
Other Minority Groups present:
Date NewStart Launched:
Number in Core Group:
Meeting Location:
Sponsor Church Name:
Sponsor Church Address:
Sponsor Church City:
Sponsor Church State:
Sponsor Church Zip:
Sponsor Pastor's Name:
Other Sponsor Church:
NEWSTART METHOD
...did you hold Multiple Worship Services?:
Yes
No
NEWSTART METHOD
...did you receive financial support from the District?:
Yes
No
NEWSTART METHOD
...did you hold Sunday School for the Children?:
Yes
No
NEWSTART METHOD
...did you receive financial support from a sponsoring church?:
Yes
No
NEWSTART METHOD
...did you hold Weekday Bible Studies for Adults?:
Yes
No
NEWSTART METHOD
...did you use small group meetings?:
Yes
No
NEWSTART METHOD
...did you share a church building with another church?:
Yes
No
% of NewStart's budget Financed by sponsoring Church:
% of NewStart's budget Financed by District Support:
Other Methods used to form the core group?:
Where are the services being held now?:
Average number now in total weekly worship attendence?:
Is another Nazarene Church serving as host?:
Submit Registration Form Now
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