Assignment Sheet

 

 

Church Request

Church: 
Address: 
 
City
State
Zip
Phone
 
Regional Staff Name
Telephone No.: 
E-mail: 
Fax No.
Date of Request
Requested Start Date
 
Description of Church
Membership: 
Attendance A.M.:  P.M.:  Midweek:
Interim Housing
Other
Length of Last Pastorate: 
Reason for Pastor's Leaving
 
Description of Community
 
Church's Most Recent Budget Figures
Last Pastor's Cash Salary: 
Last Pastor's Soc. Security Offset:
Last Pastor's Housing Allowance:

Last Pastor's Car
Reimbursement Amount:
 

 
Church's Contact Person
Name: 
Address: 
 
City: 
State: 
Zip: 
Telephone No.: 
 
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