Please enable JavaScript in your browser to complete this form.Regional Association *Regional Association's Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour Name *FirstLastYour title/role *Email *Phone Number How many congregations are in your regional association? *How did you hear about us? Another Regional AssociationThe internetOur consultantOur books (i.e. Fly in the Ointment, Penguins in the Pews, Owl Sight, etc.)OtherCustomizing Your Landscape Reason for using Landscape *Strategic PlanningLeader SearchVitality CheckThe introduction you would like included in your assessment: Holy Cow! will provide instructions to compliment the introduction from leadership.What roles would you like to be included in question #1 for respondents to pick from: Examples: Regional Association Board or Committee Member, Active Clergy, Retired Clergy, Congregational Board (Vestry, Session, Council) Member, Regional Association Staff, etc.Congregation List Drag & Drop Files, Choose Files to Upload If you would respondents to select which church they attend, please upload a list of church names in alphabetic order with the city included.Module you would like included (optional): Strategic Planning ModuleCommunications ModuleOur Ministries and Work Together ModuleLeader Search ModuleMission Statement (for Strategic Planning Module):If you are using the Strategic Planning Module, please enter in your mission statement below:List of Ministries/Committees (for Our Ministries and Work Together) Drag & Drop Files, Choose Files to Upload If using the for Our Ministries and Work Together module, please upload the list of Ministries and Committees for your Regional AssociationYour supplemental questions (optional): Your Logo that you would like included in the heading of your survey (optional): Drag & Drop Files, Choose Files to Upload Splash page you would like folks to visit when they finish the assessment (optional): Date you are wanting to launch the assessment: All Landscape interpretations are interpreted by one of our consultants. How would you like us to schedule your interpretation of the data? Online Interpretation Onsite Interpretation* with HC!C *Travel and other expenses will be billed separately We would also like our reports by (each option is $200 for reports please note sub reports by role are already provided): TenureAgeChurch sizeRegion (question must be added to supplemental questions) Additional Services: Written Executive Summary of Landscape Results - $500.00Landscape Results Presentation to Regional Association at Large via Zoom - $500.00Listening Sessions: Facilitation of 5 Listening Session via Zoom with questions developed from the Landscape Results. Cost also includes a final reports of Listening Sessions responses. - $3,500.00We need the assessment in English and the following language (additional $300): SpanishDinka KoreanIs there anything else you would like us to know before we build your order?Terms: *I understand and accept the terms of this agreement for running the instrument. I understand that these instruments have been developed by and are the property of Holy Cow! Consulting. I understand that refunds are not available once the assessment has been built. I understand that if I have ordered an onsite interpretation or any onsite consulting that travel and other expenses will be billed separately.Payment Options Once we receive payment we will get working on your assessment immediately. I would like to handle payment by: *Pay with PayPalPaying by credit cardTo be invoiced to the Regional AssociationCredit Card Information *CardName on CardTotal$0.00MessageTo Submit Order!
