Your Name (required)

Your Email (required)

Church name:

Church denomination:

Church location (State, City):

Size of church:

 0-250
 251-500
 501-800
 801-1000
 1001-1500
 1501+

Church context:(check as many as apply)
 Traditional?
 Urban?
 Suburban?
 Small Town?
 Charasmatic?
 Reformed?

Please feel free to describe your context more:

Size of youth group:

Briefly describe your call to youth ministry:

How old are you?
 18-24
 25-29
 30-35
 36+

College degree?
---YesNo

Seminary trained?
---YesNo

Please describe your youth ministry experience? (include number of years, number of churches, and position title)

What in your youth pastorate needs reimproving?

Who have been your primary theological teachers, or influences? In other words (apart from the Bible), what authors, theologians (either living or dead), movements, denominations, or schools of thought have most influenced your theology?

List five books other than the Bible that you have considered important to your spiritual growth:

How do you seek to transform your community for Christ's glory?

Are you a King, Prophet, and Priest?
King= Performance and result driven and loves to conquer
Priest= Loves discipleship, loves loving people, and everyone loves you
Prophet= straight shooter, hates "normal", and loves pushing the envelop

---KingPriestProphetProphet/PriestProphet/KingKing/Priest