*Church Name:

 
*Senior Pastor Name:

 
*Church Address:

 
*City:

 
*State:

 
*Zip Code:

 
*Phone:

 
*Fax:

 
*Church Website Address:

 
*Contact Person Name:

 
*Contact Person Email Address:

 
*How many members currently attend your church?:


 
*What percentage of your congregation are business people?:


 
*What percentage of your congregation are entrepreneurs?:


 
*What percentage of your congregation holds higher learning degrees?:


 
*Does your church conduct a business program?:
               
 
*Please state the address where you plan to hold classes:


 
*Please state the dimensions of the classroom(s):


 
*How many students will the classroom(s) accommodate?:


 
*How did you hear about the JBS Partnership Program?:


 
*Are you a partner with Bill Winston Ministries (BWM)?:
               
 
If yes, how and where did you become familiar with Dr. Winston’s teachings?:


 
*Are you a member of Faith Ministries Alliance (FMA)?:
               
 
*Are you a member of any group or ministry that is associated with BWM and/or FMA?:
               
 
If yes, please state the name and address of the organization:

 
*What does your pastor/church hope to achieve/accomplish by becoming an JBS partner?:

 
*List two things that are evidence of God’s direction in your inquiry to become a JBS partnership location:

 
Is there any additional information that you believe would be helpful to the JBS Partnership Program in considering your ministry as a location: