The Church Planter profile

Personal information
surname:

given name:

title: marital status:

gender: date of birth: age: # of children:

address: phone:

city: state: country: email:

INFORMATION OF THE AREA WHERE THE NEW CHURCH WILL BE PLANTED

church name: address:

city: state: country:

information of the mother church

church name: pastors name:

mentors name: phone: e mail:

address: neighborhood:

city state: country:

TESTIMONY OF THE PLANTER

Two lines are the minimum required. If you need more space,please used the reverse ir this sheet.
How was your life before accepting Christ?

How did you meet Christ?

How my church planting calling happened?

prayer requests
1.

2.

3.

planters signature mentors signature

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month / day / year