Information Form – Lead Sheet

Please tell us a little more about your church and ministry. All information submitted will be kept confidential, so please fill out the form as completely as possible. If you would like to speak to one of our consultants or coaches first, you can schedule a call here.

"*" indicates required fields

Name*

First Last

Position in the church*

Church name*

Church address*

Street address Address line 2 City State / province / region ZIP / postal code Country

Mailing address (if different than above)

Street address Address line 2 City State / province / region ZIP / postal code Country

Church phone*

Contact phone*

Phone type*

Contact email*

Church website*

Church denomination*

Average weekend worship attendance – ALL services*

Associated ministries (preschool, day care, school, or other income-producing ministry)*

Number of full-time church staff

Number of part-time church staff

Number of full-time associated ministry staff

Number of part-time associated ministry staff

Estimated target budget amount for ministry service

What do you need? How can we assist you? Are you dealing with any issues in ministry you would like help with?

Do you anticipate any pastoral or staff changes within the next 12 months?

When might you need us? Do you have any timing issues?

How did you hear about Church Doctor Ministries?*

Information Form – Lead Sheet

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