Community Needs and Impact Form

Community Needs and Impact Form
As the government shutdown continues and needs grow across our communities, we are called to be beacons of hope and help; feeding the hungry, welcoming the stranger, and caring for those in need (Matthew 25:35–40).

This brief, three-minute survey helps all of us across the Baltimore-Washington and Peninsula-Delaware Episcopal Area strengthen mutual support, share stories of faithful service, and connect resources so that every community is cared for.

Love boldly. Serve joyfully. Lead courageously.
Congregation Details
Church Name
Church ID Number:
Church Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Church Zip Code
District
Primary Contact Name

First NameLast Name
Primary Contact Email
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
If we need to reach out to you for more information, what is your preferred method of contact?
Community Needs and Impact
COMMUNITY NEEDS: What needs or challenges are most visible in your community right now? (check all that apply)

Other
SHUTDOWN IMPACT: Approximately how many households connected to your congregation include federal employees or contractors affected by the shutdown?
CURRENT MINISTRIES or RESPONSES: Which ministries are currently active at your church? (check all that apply)

Other
FOOD ASSISTANCE: Tell us about the frequency and number of persons served
CAPACITY TO SERVE: How would you describe your congregation’s current capacity to meet increased community needs?
INTEREST IN CONNECTION: Would your congregation like to connect with others to coordinate or collaborate?
SUPPORT NEEDED: What kind of support would help your congregation serve more effectively? (check all applicable)

Other
STORY or REFLECTION: Please share a brief story, challenge, or sign of hope from your ministry in this moment.
Please provide any additional information you'd like to share:
Should be Empty:

Community Needs and Impact Form

Congregation Details

Community Needs and Impact