T.I.M.E. (Together in Mission Engagement)
Planning Process Congregation Application

(Please apply online or print and send to Pr. Janet Hunt, NI Synod, Augustana College, Rock Island, IL 61201)

 Name of Congregation

 Address

 Phone Fax Website

 Contact Person Position

 Daytime Phone Email Address

 Pastor Email Address

 Describe Demographic Context

 Brief Description of Ministry Activities

Average Worship Attendance (Do not include children in Sunday School)

Average Sunday School Attendance

Number of New Members Joining Last Year 2 Years Ago

What is your Mission Statement?

Do you have a Mission Plan/Long Range Plan Yes No (Please e-mail as attachment if YES)

Have you submitted a Mission Planning Covenant to the Synod? Yes No

Do you plan to submit a Mission Plan to the Synod? Yes No    If so, when?

How was this application approved?

Council Chairperson Signature

Pastor Signature

Use the text box below to answer the following or anything else that will be helpful for us to consider:

• Why is this a good time for this congregation?

• What recent changes or opportunities have occurred?

• What assets for mission planning does this congregation possess?