Church Interest Form

Interested in connecting with us to explore the possibilities of reimagining your church’s space? Please take a few minutes to complete the form and we’ll be in touch soon!

Church name:(Required)

Church contact name (who is submitting this form?):(Required)

Contact’s role at the church:(Required)

Contact's email:(Required)

Enter Email Confirm Email

Contact's phone number:(Required)

Church address:(Required)

Denominational affiliation:(Required)

When was the church built?(Required)

Who owns the building (church, denomination)?(Required)

Is there a mortgage on the property?(Required)

Rough square footage of space (excluding sanctuary – if you're uncertain, give your best guess and note that in the field below):(Required)

What is the overall state/condition of the building?(Required)

Previous year’s budget (overall income and expense numbers will suffice):(Required)

Average weekly attendance:(Required)

How would you describe the makeup of the congregation (age, socio-economic, ethnicity, etc.)?(Required)

How would you describe the makeup of the surrounding community using those same considerations?(Required)

How would you describe the church’s overall posture towards and history of engagement with the surrounding community?(Required)

What conversations, if any, has the church had regarding using some of its physical space in ways that are primarily community-facing? Who has been part of those conversations (entire congregation, church leadership, etc.)?(Required)

What is the current state of readiness (and even excitement) at your church for reimagining how the church’s physical space is used for the sake of your neighbors?(Required)

What is your primary hope or objective in reaching out to Flourish Placemaking Collective?(Required)

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