New Faith Community Planter Application

You must complete this application in one sitting. After submitting, you will be able to return to make changes - however, we suggest that before starting, read the New Faith Community Planter Questionnaire and prepare your responses to six (6) of the questions - as the responses are required below. You may also want to read and prepare your responses for all the questions below before starting. (This is a secure site.)

Applicant Information:

Provide your contact information. *Denotes required field.

*First Name
*Last Name
Address 1
Address 2
*What is your current appointment?
Ordination and/or leadership credentials.

Select all that apply:

Ordained Full Elder Clergy, Member of UMC
Local Pastor
Certified Candidate for Ministry
Commissioned Provisional Clergy, Member of UMC
Lay Servant
Certified Lay Servant
Certified Lay Minister
Lay Missioner
Other clergy credentials (specify below)
Other leadership certification (specify below)
Other (specify below)
*Provide issuing body and date for ordination and/or leadership credentials selected above:

If you selected one of the "other" options above, please explain in full in the space provided.

*List new faith community planting training events in which you have participated (include dates):
*List books, articles, and websites you have read that inform your understanding of new faith community planting:
*Why are you feeling called to new faith community planting?

How did you arrive at the conclusion that God is leading you to become a new faith community planter? What process did you go through?

What, if any, continuing education classes have you attended? And when?
*How do the members of your household feel about the possibility of your involvement in planting a new faith community?
New Faith Community Planter Assessment Questionnaire Responses

Read the questions on the New Faith Community Planter Assessment Questionnaire. Select and provide written responses to six questions that you feel will be most revealing to who you are as a new faith community planter.

*Response 1:
*Response 2:
*Response 3:
*Response 4:
*Response 5:
*Response 6:

Have you completed the following assessment?

If not, please do so at your earliest convenience. 

*Spiritual Gifts Assessment

If not, go to Do NOT check the box "I don't want my results shared with my annual conference." When completed, please email your results to  

Permissions Needed
*I grant permission to the Faith Community Formation Office to do a background check.
*I grant permission to the Faith Community Formation Office to do a credit check.
*Please provide your social security number:
*Please provide your birth date:
Supporting Materials

Upload the following supporting items (required): 

Upload self-reflective essay

A one-page, self-reflective essay* describing your call story, to include:
1. Vision
2. Mission
3. Core Beliefs
4. Core Values
5. One paragraph summary of your affinity group.
6. What church strategy suits your profile? Why?
7. What would be your optimal new church planting scenario? Why?
8. Concerning your possible appointment to plant a new church, what other conclusions have you made AND what questions remain for you?

* © Dr. Robert Crossman

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Upload Your Resume

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Letter from your district's Chief Missional Strategist (Superintendent)

Please request a letter from your district's Chief Missional Strategist (CMS) stating that you have communicated your desire to explore your gifts in leading the planting or revitalization of a faith community and ask them to email the letter to the Faith Commununity Formation Office at

Need to share a comment? Please use the space provided.

Share a Video

Add a link to a video of yourself leading and preaching at a worship service that you designed (in the space provided below).

OR mail a DVD to the attention of Jason Zebert in the Faith Community Formation office at:

Mississppi Conference of the United Methodist Church
320-F Briarwood Drive
Jackson, MS  39206

*Complete and Ready for Submission

Please check: 

  • "No" if you plan to return to edit this document (NOT READY for submission to the Faith Community Formation Committee)
  • "Yes" if you are finished editing this document (READY for submission to the Faith Community Formation Committee)

You will be able to access and edit this form as needed by clicking on the link found in the email confirmation.

Thank you!

After we receive all materials, a member of the Faith Community Formation Committee Assessment Team will be in touch. If you have any questions, please contact Jason Zebert at, 769-243-7073 or Jane Horstman at, 769-243-7072.


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