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Simplified Annual Church Profile
This is for the period from October 1, 2010 through September 30, 2011. If you have questions, please contact the TBA at 817-927-1911 ext 201 or This e-mail address is being protected from spambots. You need JavaScript enabled to view it
When you are finished completing the form, please print a copy for your records.
Name of Church
Mailing Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Physical Address (if Different)
Phone
Fax
Church Email
Church Web Page Address
Pastor's Name
Pastor's Home Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Pastor's Home Phone
Pastor's Cell Phone
Pastor's Email
Pastor's Date of Birth
Total Baptisms
Average Weekly Worship Attendance
Average Weekly Bible Study Attendance
Total Annual Receipts
Number of New Church Starts Sponsored
Total Number of Members Participating in National Mission Trips
List States
Total Number of Members Participating in International MissionTrips
List Country(ies)
A Highlighted Event in the Life of the Church This Year
What are some of your most significant leadership development needs for staff and lay leaders?
What New Ministries Were Started This Year?
Number of Students/Seminary students sponsored/mentored/coached this year?
What Faith In Action/community impact projects was your church involved in this year?
Are you open to allowing students to preach occasionally in your church to develop them as pastors?
What else would you like to bring to the Association's attention?
Name of Person Preparing Form
Person's Phone Number
Person's Email Address
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