Are you a church or a ministry? 
                                    
                                 
                                    
                                 
                         
                             
                
            
            
                
                                            
                            
                                
                                    
                                        
1 
                                    
                                    
                                        
When would you like your first service to start? 
                                    
                                 
                                                                    
                                                             
                         
                                            
                            
                                
                                    
                                        
2 
                                    
                                    
                                        
In what state will you plant your church? 
                                    
                                 
                                                                    
                                        
                                            
                                                                                                    Alabama 
                                                                                                    Alaska 
                                                                                                    Arizona 
                                                                                                    Arkansas 
                                                                                                    California 
                                                                                                    Colorado 
                                                                                                    Connecticut 
                                                                                                    Delaware 
                                                                                                    District of Columbia 
                                                                                                    Florida 
                                                                                                    Georgia 
                                                                                                    Guam 
                                                                                                    Hawaii 
                                                                                                    Idaho 
                                                                                                    Illinois 
                                                                                                    Indiana 
                                                                                                    Iowa 
                                                                                                    Kansas 
                                                                                                    Kentucky 
                                                                                                    Louisiana 
                                                                                                    Maine 
                                                                                                    Maryland 
                                                                                                    Massachusetts 
                                                                                                    Michigan 
                                                                                                    Minnesota 
                                                                                                    Mississippi 
                                                                                                    Missouri 
                                                                                                    Northern Marianas Islands 
                                                                                                    Montana 
                                                                                                    Nebraska 
                                                                                                    Nevada 
                                                                                                    New Hampshire 
                                                                                                    New Jersey 
                                                                                                    New Mexico 
                                                                                                    New York 
                                                                                                    North Carolina 
                                                                                                    North Dakota 
                                                                                                    Ohio 
                                                                                                    Oklahoma 
                                                                                                    Oregon 
                                                                                                    Pennsylvania 
                                                                                                    Puerto Rico 
                                                                                                    Rhode Island 
                                                                                                    South Carolina 
                                                                                                    South Dakota 
                                                                                                    Tennessee 
                                                                                                    Texas 
                                                                                                    Utah 
                                                                                                    Vermont 
                                                                                                    Virgin Islands 
                                                                                                    Virginia 
                                                                                                    Washington 
                                                                                                    West Virginia 
                                                                                                    Wisconsin 
                                                                                                    American Samoa 
                                                                                                    Wyoming 
                                                                                             
                                        
                                     
                                                             
                         
                                            
                            
                                
                                    
                                        
3 
                                    
                                    
                                        
Do you want to be a paid staff member in the next 12-24 months? 
                                    
                                 
                                                                    
                                                             
                         
                                    
                
                                            
                            
                                
                                    
                                        
1 
                                    
                                    
                                        
What type of activities will your ministry do? 
                                    
                                 
                                                                    
                                        
                                            
                                                                                                    Evangelism and outreach 
                                                                                                    Writing books and speaking engagements 
                                                                                                    International and domestic missions 
                                                                                                    Transitional housing 
                                                                                                    At-risk youth outreach 
                                                                                                    Prison outreach 
                                                                                                    Single moms outreach 
                                                                                                    Children’s ministry 
                                                                                                    College student ministry 
                                                                                                    Spiritual leadership training 
                                                                                                    Bible school and seminary training 
                                                                                                    Other 
                                                                                             
                                        
                                     
                                                             
                         
                                            
                            
                                
                                    
                                        
2 
                                    
                                    
                                        
How soon do you want to officially start activities? 
                                    
                                 
                                                                    
                                                             
                         
                                            
                            
                                
                                    
                                        
3 
                                    
                                    
                                        
Do you want to be a paid staff member in the next 12-24 months?