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* 1. Personal Contact Information

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* 2. Church or Ministry Information

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* 3. How were you trained for ministry and mission (schools, apprenticeships, bootcamps?)

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* 4. Briefly describe your ministry experience.

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* 5. How long have you lived in the Madison area?

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* 6. Are you connected with a denomination or network? If so, which one?

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* 7. Current Experience

  Very poor Poor Average Good Thriving
How is the quality of your current relationships with peers in ministry?
How is the quality your current relationships with mentors in ministry?
How would you rate your current spiritual vitality?
How is your ministry is going currently?

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* 8. Rank what interests you most about Missio Madison.

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* 9. In a paragraph or two, what are your hopes for your experience as part of Missio Madison?

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* 10. In a paragraph or two, what strengths do you bring to the work of joining God's mission in Madison?

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* 11. What experience (if any) do you have meeting with a ministry coach or spiritual director?

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* 12. How do you feel about being part of a learning community made up of missional practioners from different Christian theological traditions or denominations?

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* 13. In a paragraph or two, what is a challenge you're currently facing in ministry? How are you addressing it?

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* 14. Are you able to commit to the three cohort gatherings (Noon to 4pm on 1/24, 2/28, 4/24), the two-day retreat (3/23-24) and to prioritizing scheduling triad coaching sessions during the second week of each month?

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* 15. How did you learn about Missio Madison? (check all that apply)

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* 16. Is there anything else you think we should know or consider?

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* 17. Do you have any questions?

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