Pastoral Coaching Intake

Full Name*

Church Name*

Church Location (City, State)*

Email Address

example@example.com

Phone Number*

Denomination or Affiliation (if applicable)*

What is your user name on Zoom?*

How many years have you been pastoring?*

How would you describe your current leadership team?*

Strong and activePresent but not effectiveIt’s mostly meI don’t have one

Which of these is your biggest leadership struggle right now? (Select up to 2)*

Delegating tasks and letting goGetting people to follow throughStructuring ministries that actually growCommunicating clearly with leadersHolding leaders accountableLeading without burning out

Do you currently have an Executive Assistant (EA) or Admin?

What systems do you currently use to stay organized?*

Google Docs / DriveA written planner or notebookA church management systemI don’t have systems in place yet

Do you have an outreach or community program currently running?*

When it comes to church growth, which best describes your current mindset?*

We’re growing but not structuredWe’re steady, but something needs to shiftWe’re stuck or decliningWe’ve been focused on survival more than strategy

How would you rate your ability to train and release leaders?*

I’m strong in thisI try, but it doesn’t always workI usually end up doing it myselfI haven’t tried yet

What made you seek coaching at this time?*

What do you hope to gain from 1:1 coaching?*

Is there anything else I should know about your church, team, or leadership journey? (Optional)

Which coaching option are you most interested in? (3-month minimum commitment required)*

Once a month (3 sessions total)Twice a month (6 sessions total)More than 6 sessions

Coaching Investment

Coaching is $147/month (1 session/month) or $247/month (2 sessions/month), with a 3-month minimum commitment.

When would you like to begin coaching?*

What days, times, and time zone generally work best for your coaching sessions?(Example: Mondays after 6 PM CST, Fridays between 10 AM–2 PM EST. Please include your time zone. This question is required to move forward.)*

e.g., Mondays after 3 PM CST, Fridays before noon EST

Important Note: Once we receive your form, you will get an email from ThePastorsSecretary@gmail.com within 3 business days. You will then have 3 business days to respond.

That email will include:
– Your assigned coaching session date and time
– A payment link
– Coaching instructions

Please read carefully:
This coaching is not for grants. It is specifically for structure, strategy, systems, and sustainability.
You must currently be serving as a Pastor to participate.

I understand that this is a 1:1 coaching relationship provided by Mishka Nichelle | The Pastor’s Secretary. I agree to:

- Attend scheduled sessions live

- Pay in full or by a payment plan as agreed

- Respect the confidentiality of this coaching relationship

- Be open to strategic feedback and coaching direction

This agreement is between the Pastor and Mishka Nichelle | The Pastor’s Secretary, for the purpose of leadership and strategic development.

By typing my full name below, I agree to the terms of this agreement.

Full Name*

First NameLast Name

Date*

Date

Pastoral Coaching Intake

Section 1: Contact Info

Section 2: Current Ministry Snapshot

Section 3: Vision and Ministry Goals

Section 4: Coaching Goals

Section 5: Coaching Frequency + Minimum Commitment

Coaching Investment (Pricing Disclosure)

Availability & Start Date

Terms and Conditions of Agreement

Pastoral Coaching Intake

Section 1: Contact Info

Section 2: Current Ministry Snapshot

Section 3: Vision and Ministry Goals

Section 4: Coaching Goals

​Section 5: Coaching Frequency + Minimum Commitment

Coaching Investment (Pricing Disclosure)

Availability & Start Date

Terms and Conditions of Agreement

Section 5: Coaching Frequency + Minimum Commitment