FORM & ASSESSMENT

When the leader is healthy, the people are healthy. And when the people are healthy, the church is healthy. And a healthy church grows.” - Pastor Andy

MEMBER'S INFORMATION

Name

First Name

Last Name

Date of Birth

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Mobile Phone

(###)

###

####

Email Address

CHURCH INFORMATION

Church Name

Year Established

Church Website

http://

Church/Work Phone

(###)

###

####

Church Email

Are you the Senior Pastor?

If not, Your Ministry Position

If No, were you elected?

Are you Married or Single?

Spouse's Name

First Name

Last Name

Years Married

Number of Children

Children's Names and Ages

What do you do for a hobby?

SELF ASSESSMENT

1. Sermons/Teaching

2. Your satisfaction with your ministry/church staff

3. Rate your marriage

4. Ability to maintain life balance

5. What do you believe to be your greatest personal ministry strength?

6. What do you believe to be your greatest need in Ministry?

7. State your needs and expectations in being mentored by Pastor Andy.

8. State your needs and expectations in being a member of OCF.