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* 1. Pastor's Name

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* 2. Name of Facilitator

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* 4. Church Address

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* 5. Course Beginning Date

Date
Time

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* 6. The course will take place in a...

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* 7. Church Location

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* 8. Church Context

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* 9. What percentage of your church is in the following age ranges?

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* 10. How would you describe your political identity?

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* 11. Why did you answer the way you did? What issues or attitudes inform your answer?

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* 12. How would you describe the general political/partisan identity of your congregation?

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* 13. How often do you or your church talk/teach about politics?

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* 14. How intentional are you about how you teach about Christian public engagement or political issues?

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* 15. What (if any) biblical or theological principles guide your teaching on Christian public or political engagement? What is most important for your people to know?

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* 16. What books/resources do you use to help you think biblically about Christian public engagement?

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* 17. What sources of news/information/commentary do you most use?

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