Associate Renewal Form
Person Filling Out Form
*
First Name
Last Name
Email
*
example@example.com
Local Church
*
Please Select
Beyond the Goal
Blue Island Spanish
Bradley First
Casa de Oracion
Celebrate Recovery - TK
Chicago Calvary
Chicago Emanuel Spanish
Chicago First
Chicago First Korean
Chicago First Spanish
Chicago Gage Park
Chicago Heights
Chicago Northside
Chicago Oak Lawn Arabic
Chicago Southside Arabic
Chicago Summit Spanish
Chicago Uptown Vietnamese
College Church University Avenue
Community Cup
Cornerstone Bible
Cristo la Unica Esperanza
Cross Creation Sports Academy
Cross Point
Crossroads
Danville Cedar Grove
Danville First
Danville Prison Ministries
Danville Westside
Ebenezer
El Shaddai
El Taller
Emmaus Road Gathering
Fuente de Vida
GatheringPoint
Good News First Haitian
Grace Community
Grace Community at Autumn Fields
Greater New Testament
Hoopeston Community
Hope
House of Prayer
Immanuel Senior Residence
Joliet Crystal Lawns
Kankakee Eastridge
Kankakee First
Kankakee Salvage Yard Biker
Kempton
Lighthouse Community
Limestone Community
Lombard
Manteno
Milford
Mundelein
Mundelein Korean
Mundelein Spanish
Naperville Trinity
Naperville Trinity CR - DuPage County Jail
New Future Mongolian
New Holy Cross
North Chicago
Northshore
Paxton
Potomac
Prairie Manor
Prince of Peace
Reach77
Rescue Us
Resurrection Community
Ridgeland
Sheldon
Simple Truth
South Asian Ministries
The Loop
The Table
Total Deliverance
Waukegan Spanish
West Chicago
Wilmington First
Word Fellowship Outreach Ministries
Worship Center of Chicago
Worth
Were all church apportionments paid in full for 2024?
*
Yes
No
Staff Member #1
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #2
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #3
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #4
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #5
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #6
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #7
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #8
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #9
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
Do you have another staff member to renew?
*
Yes
No
Staff Member #10
Name
*
First Name
Last Name
Ministry Title
*
Type of Approval Request:
*
New Hire
Renewal
2025 Ministry Status
*
Full-Time (30+ hours/week)
Half-Time (15-29 hours/week)
Quarter-Time (5-14 hours/week)
Payment Status:
*
Paid Staff
Unpaid/Volunteer Staff
Background Check on File:
*
Yes
No
Salary
*
Housing Allowance
*
Social Security Tax Reimbursement
*
Other Benefits
*
If you have more than 10 associates to renew, please fill out an additional form.
Submit
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