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Iowa NextGen Database
This form is to update the Children's, Youth, and Young Adults Pastors database for Iowa NextGen Ministries
13
Questions
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1
Your Name
*
This field is required.
First Name
Last Name
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2
Your Email
*
This field is required.
example@example.com
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3
Your Phone Number
*
This field is required.
Please enter a valid phone number.
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4
Are you married?
If so, what is your spouse's name and when is your anniversary?
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5
Do you have children?
If so, what are their name(s) and birthdate(s)?
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6
Church Name
*
This field is required.
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7
Church City
*
This field is required.
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8
Which Ministry Do You Serve In?
*
This field is required.
Select all that apply
KidMin
Youth
Young Adults
All of the above
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9
Are you...
*
This field is required.
Select one
Full-Time
Part-Time
Bi-Vocational
Volunteer
Lead Pastor filling this role
Lead Pastor's Spouse filling this role
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10
Credentials?
*
This field is required.
Select one
Certified AG Minister
Licensed AG Minister
Ordained AG Minister
Working On Credentials
Not Credentialed
My Church Is A NON-AG Church
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11
Tell us about you!
What are some of your favorite drinks, snacks, candy, restaurants, places to shop, hobbies, etc.
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12
If you were given $100k, what would you do with it?
This is just for fun. IMN and Iowa NextGen is not giving cash away.
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13
Is there anything else you would like us to know about you?
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