_formonly – Regional Staff Questionnaire

Regional Staff Questionnaire

Name

First Last

Ministry/Committee

Phone

Country Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you been serving in your current ministry/committee

Please enter a number from 0 to 100.

Do you feel you have the vision, inspiration, passion, and regional support to continue to lead effectively if re-appointed?

Yes

If no, please explain

What is your vision for the ministry/committee?

List significant accomplishments in the region during the past two (2) years pertaining to your ministry/committee.

List some of the challenges you have faced in this ministry/committee over the past two (2) years.

List goals/objectives for the Mid-Atlantic Region if re-appointed.

What are some things the Regional Office can do to help you and your ministry/committee to become more effective in the region?

List the names of your Team Members

List at least two (2) persons that you are mentoring that will be able to lead this Ministry/Committee should you decide the Lord is calling you to another area of ministry.

Are you a Licensed Minister?

Yes

If yes, how long have you been a Licensed Minister?

Please enter a number from 0 to 100.

Licensed ID Number:

After prayerful consideration and consulting with the Ministry Team:

I desire to remain in this ministry/committee.

I feel God is calling me to another area of ministry.

I wish to step away from this ministry/committee so that someone else can serve.

(Please explain)

Signature