APPLICATION TO PLANT A NEW CHURCH
Kentucky District Council of the Assemblies of God, Inc.
Your Name
Your Minister credential level
Please Select
Certified
Licensed
Ordained
Credential Application in process
Spouse's Name (if applicable)
Spouse's Minister credential level (if applicable)
Please Select
Certified
Licensed
Ordained
Credential Application in process
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
Home Phone
Email Address
example@example.com
Personal/Ministry website, if any
Name(s) and age(s) of Children, if applicable
Please submit a recent photo of yourself (and your spouse, if applicable)
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Location of proposed new church (be as specific as possible)
Section
Please Select
Bluegrass
Central
Cumberland
Jackson Purchase
Louisville
Mountain
North Central
Northeast
Northern
Pennyrile
Red River
South Central
Presbyter
Name of A/G church(es) within a 5 mile radius
Why do you believe this is a good location for a new church?
Approximate population of the community/area?
Do you have a group of people interested in helping with this new church?
YES
NO
If YES, how many adults?
Are these adults presently involved in a neighboring church?
YES
NO
If YES, where?
How much monthly financial support can you expect from these adults?
Do you have any type of promised financial support available to assist you with this project? (District or Sectional Faith Promises, National Home Missions Support, support promised by friends, family or churches, etc.) If so, how much has been promised?
If you plan to engage in some form of "tent making?" What do you expect your income to be and how many hours per week will it take?
How much monthly financial support can you expect from these adults?
Total of monthly payments you make on your personal consumer debts including mortgage/rent, car loans, credit cards, school loans, medical debts, etc.).
$ amount
Is there a meeting place available?
YES
NO
Unknown at this time
If YES, what type of facility or building is it?
Hotel conference room, movie theater, etc.
If YES, monthly rent/lease:
$ amount
Have you made any commitments for purchase, lease, or rent of property?
YES
NO
If YES, please explain.
Will you cooperate with the Kentucky District policy throughout the process of establishing a new church?
YES
NO
Write a specific overview of your vision and methodology for your proposed church plant (several paragraphs recommended).
Signature
Date
/
Month
/
Day
Year
Date
Signature of Parent Church Pastor (if applicable)
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