Please enable JavaScript in your browser to complete this form.Church Name (As you would like it to appear on title of your assessment) *Church Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour congregation's average weekly attendance, please include online attenders if applicable. Your Name (Please Note: We ask that we just have one contact person per congregation) *FirstLastYour title/role *Email *PhoneYour Denomination *Episcopal Diocese Evangelical Free Church of AmericaPresbyterian (PCUSA) United Methodist Church Nondenominational United Church of Christ Evangelical Lutheran Church of America Mennonite Moravian Lutheran Church of the Missouri Synod Presbyterian (Non-PCUSA)- ECO, Covenant Order of Evangelical PresbyteriansOther What UCC Conference is your Congregation a part of? California, Nevada Northern UCCCalifornia, Nevada Southern UCCCalvin Synod Conference UCCCentral Atlantic UCCCentral Pacific UCCFlorida UCCHawaii UCCHeartland UCCIllinois UCCIllinois South UCCIndiana-Kentucky UCCIowa UCCKansas-Oklahoma UCCMaine UCCMichigan UCCMinnesota UCCMissouri Mid-South UCCMontana-Northern Wyoming UCCNebraska UCCNew Hampshire UCCNew York UCCNorthern Plains UCCPacific Northwest UCCPenn Central UCCPenn Northeast UCCPenn West UCCPennsylvania Southeast UCCRocky Mountain UCCSouth Central UCCSouth Dakota UCCSoutheast UCCSouthern UCCSouthern New England UCCSouthwest UCCVermont UCCWisconsin UCCWhich ELCA Synod is your Congregation a part of? Alaska SynodAllegheny SynodArkansas-Oklahoma SynodCentral/Southern Illinois SynodCentral States SynodDelaware-Maryland SynodEast-Central Synod of WisconsinEastern North Dakota SynodFlorida-Bahamas SynodGrand Canyon SynodGreater Milwaukee SynodIndiana-Kentucky SynodLower Susquehanna SynodMetropolitan Chicago SynodMetropolitan New York SynodMetropolitan Washington, D.C. SynodMinneapolis Area SynodMontana SynodNebraska SynodNew England SynodNew Jersey SynodNorth Carolina SynodNorthern Illinois SynodNortheastern Minnesota SynodNortheastern Ohio SynodNortheastern Pennsylvania SynodNorthern Texas-Northern Louisiana SynodNorthwest Intermountain SynodNorth/West Lower Michigan SynodNorthwestern Minnesota SynodNorthwestern Ohio SynodNorthwestern Pennsylvania SynodNorthwest Washington SynodNorthwest Wisconsin SynodOregon SynodPacifica SynodRocky Mountain SynodSaint Paul Area SynodSierra Pacific SynodSouth Carolina SynodSouth Dakota SynodSoutheastern SynodSoutheastern Iowa SynodSoutheastern Minnesota SynodSoutheast Michigan SynodSoutheastern Pennsylvania SynodSouthern Ohio SynodSouthwest California SynodSouthwestern Minnesota SynodSouthwestern Pennsylvania SynodSouthwestern Texas SynodSouthwestern Washington SynodTexas-Louisiana Gulf Coast SynodUpper Susquehanna SynodUpstate New York SynodVirginia SynodWest Virginia-Western Maryland SynodWestern Iowa SynodWestern North Dakota SynodOur Synod is not listedWhich United Methodist Annual Conference is your Congregation a part of? Alabama-West Florida Annual ConferenceAlaska Annual ConferenceArkansas Annual ConferenceBaltimore-Washington Annual ConferenceCalifornia-Nevada Annual ConferenceCalifornia-Pacific Annual ConferenceCentral Appalachian Missionary Annual Conference (formerly Red Bird)Central Texas Annual ConferenceDakotas Annual ConferenceDesert Southwest Annual ConferenceEast Ohio Annual ConferenceEastern Pennsylvania Annual ConferenceFlorida Annual ConferenceGreat Plains Annual ConferenceGreater New Jersey Annual ConferenceHolston Annual ConferenceKentucky Annual ConferenceIllinois Great Rivers Annual ConferenceIndiana Annual ConferenceIowa Annual ConferenceLouisiana Annual ConferenceMichigan Annual ConferenceMinnesota Annual ConferenceMississippi Annual ConferenceMissouri Annual ConferenceMountain Sky Annual ConferenceNew England Annual ConferenceNew York Annual ConferenceNew Mexico Annual ConferenceNorth Alabama Annual ConferenceNorth Carolina Annual ConferenceNorth Georgia Annual ConferenceNorth Texas Annual ConferenceNorthern Illinois Annual ConferenceNorthwest Texas Annual ConferenceOklahoma Annual ConferenceOklahoma Indian Missionary Annual ConferenceOregon-Idaho Annual ConferencePacific Northwest Annual ConferencePeninsula-Delaware Annual ConferenceRio Texas Annual ConferenceSouth Carolina Annual ConferenceSouth Georgia Annual ConferenceSusquehanna Annual ConferenceTennessee-Western Kentucky Annual ConferenceTexas Annual ConferenceUpper New York Annual ConferenceVirginia Annual ConferenceWest Virginia Annual ConferenceWestern Pennsylvania Annual ConferenceWestern North Carolina Annual ConferenceWest Ohio Annual ConferenceWisconsin Annual ConferenceWhich Episcopal Diocese is your Congregation a part of? Diocese of AlaskaDiocese of AlbanyDiocese of ArizonaDiocese of AtlantaDiocese of CaliforniaDiocese of Central Gulf CoastDiocese of Central FloridaDiocese of Central New YorkDiocese of Central PennsylvaniaDiocese of ChicagoDiocese of ColoradoDiocese of ConnecticutDiocese of DelawareDiocese of East CarolinaDiocese of FloridaDiocese of GeorgiaDiocese of IowaDiocese of KansasDiocese of KentuckyDiocese of LexingtonDiocese of Los AngelesDiocese of LouisianaDiocese of MaineDiocese of MarylandDiocese of MassachusettsDiocese of MichiganDiocese of MississippiDiocese of MissouriDiocese Nevada Diocese of New HampshireDiocese of New JerseyDiocese of New YorkDiocese of North CarolinaDiocese of Northern CaliforniaDiocese of OlympiaDiocese of PennsylvaniaDiocese of OklahomaDiocese of OhioDiocese of Rhode IslandDiocese of San DiegoDiocese of Southern VirginiaDiocese of Southern OhioDiocese of Southeast FloridaDiocese of Southwest FloridaDiocese of Southwestern VirginiaDiocese of SpokaneDiocese of TennesseeDiocese of TexasDiocese of UtahDiocese of VirginiaDiocese of VermontDiocese of WashingtonDiocese of Western LouisianaDiocese of Western MassachusettsDiocese of Western North CarolinaDiocese of West TennesseeDiocese of West TexasOur Diocese is not listed Which PCUSA Presbytery is your Congregation a part of? Presbytery of AlbanyPresbytery of AbingdonPresbytery of ArkansasPresbytery of BaltimorePresbytery of Beaver-ButlerPresbytery of BlackhawkPresbytery of BostonPresbytery of CarlislePresbytery of Cayuga-SyracusePresbytery of Central NebraskaPresbytery of Central New JerseyPresbytery of CincinnatiPresbytery of CharlottePresbytery of CherokeePresbytery of ChicagoPresbytery of CoastlandsPresbytery of Coastal CarolinaPresbytery of DakotaPresbytery of DenverPresbytery of Des MoinesPresbytery of DetroitPresbytery of DonegalPresbytery of East IowaPresbytery of East TennesseePresbytery of Eastern VirginiaPresbytery of EastminsterPresbytery of Genesee ValleyPresbytery of GenevaPresbytery of Giddings-LovejoyPresbytery of Great RiversPresbytery of HeartlandPresbytery of HighlandsPresbytery of HolstonPresbytery of HomesteadPresbytery of Hudson RiverPresbytery of HuntingdonPresbytery of Long IslandPresbytery of The JamesPresbytery of John CalvinPresbytery of John KnoxPresbytery of KendallPresbytery of KiskiminetasPresbytery of LackawannaPresbytery of Lake EriePresbytery of Lake HuronPresbytery of Lake MichiganPresbytery of LehighPresbytery of MackinacPresbytery of Maumee ValleyPresbytery of Miami ValleyPresbytery of Mid-KentuckyPresbytery of Mid-SouthPresbytery of Midwest Korean AmericanPresbytery of Middle TennesseePresbytery of MilwaukeePresbytery of Minnesota ValleysPresbytery of MississippiPresbytery of Missouri River ValleyPresbytery of Missouri UnionPresbytery of Muskingum ValleyPresbytery of National CapitalPresbytery of New CastlePresbytery of New HopePresbytery of New York CityPresbytery of North AlabamaPresbytery of North Central CaliforniaPresbytery of North Central IowaPresbytery of Northeast New JerseyPresbytery of Northern KansasPresbytery of Northern New EnglandPresbytery of Northern New YorkPresbytery of Northern PlainsPresbytery of Northern WatersPresbytery of NorthumberlandPresbytery of Ohio ValleyPresbytery of The PeaksPresbytery of PhiladelphiaPresbytery of PittsburghPresbytery of Prospect HillPresbytery of RedstonePresbytery of RedwoodsPresbytery of San FranciscoPresbytery of San JosePresbytery of SavannahPresbytery of Scioto ValleyPresbytery of SeattlePresbytery of ShenandoahPresbytery of ShenangoPresbytery of Sheppards & LapsleyPresbytery of South AlabamaPresbytery of South DakotaPresbytery of Southeastern IllinoisPresbytery of Southern New EnglandPresbytery of Southern KansasPresbytery of Southern New JerseyPresbytery of St. AndrewPresbytery of Susquehanna ValleyPresbytery of Tampa BayPresbytery of TransylvaniaPresbytery of Twin Cities AreaPresbytery of Upper Ohio ValleyPresbytery of UticaPresbytery of Wabash ValleyPresbytery of WashingtonPresbytery of West VirginiaPresbytery of Western ColoradoPresbytery of Western New YorkPresbytery of Western North CarolinaPresbytery of Western ReservePresbytery of Western KentuckyPresbytery of Whitewater ValleyPresbytery of WinnebagoPresbytery of WyomingPresbytery of YellowstoneOur Presbytery is not listedHow did you hear about us? Another church or clergy person Our Regional Association (i.e. Presbytery, Diocese, Conference, etc.)The Internet Our consultantOur church has used your assessment beforeI have used your assessment at a different churchOther Customizing Your CAT Reason for using the CAT *Strategic Planning Clergy Search Financial CampaignVitality Check What 2 modules you would like to add (optional):Strategic Planning ModuleMerging Congregation ModuleTransition Module*Interim ModuleWorship Experience Module Designated Pastor ModuleOnline Worship ModuleCommunication ModuleFlow ModuleMissional ModuleStewardship Appeal ModuleDebt Reduction ModuleBuilding Campaign ModuleCritical Abilities Module*If using the Transition Module would you like to add on a Transition Summary and Vital Leader Profile Report for $80?YesNoWhat Clergy language should we use? *Current PastorCurrent Rector Former Pastor (use if former pastor left less than 4-6 months ago and the interim has been there for less than 6 months)Former Rector (use if former pastor left less than 4-6 months ago and the interim has been there for less than 6 months)Interim Pastor (use if the interim has been there for more than 6 months)Interim Rector (use if the interim has been there for more than 6 months)Priest in Charge Designated Pastor Pastors Other (Please provide the clergy language you would like in the "other notes" section) Your 5 supplemental questions (optional): Supplemental questions can be pulled from modules that were not selected or can be drafted by church leadership to help answer questions about congregational needs. Please avoid questions regarding decisions on who will be your next clergy, decisions around who you are and are not willing to hire in leadership roles, and other important specific congregational outcomes that need further discussion.Please select your Average Weekly Attendance Range *Under 150 persons150-499 persons500-749 persons750-999 persons1000+ personsYou will receive a link for your assessment with a PDF. Would you also like a QR Code for your congregation to scan in order to take the assessment? Yes No Date you are wanting to launch the assessment: Would you like to add additional subreports to your order? Please note there is a cost per subreport. Reports by Age - $ 90.00Reports by Tenure - $ 90.00Reports by Worship Service Time which need to be included in the supplemental questions - $ 90.00Two congregations with shared clergy - congregation names need to be included in the supplemental questions - $ 150.00Would you like to receive an additional report of your congregation's data compared to other congregations during COVID for $80.00? Yes NoDo you need an additional CAT in another language? Choose from the languages below. Please to run an additional CAT the cost is $200No additional CAT neededSpanishKoreanWho will be handling the interpretation of your results? (Please note your results require an interpretation and are conducted with your church leadership present)We have our own trained interpreterHoly Cow! Consulting for an online interpretation Holy Cow! Consulting Onsite interpretation**travel billed separately If using your own interpreter, please give us their name and email address:Additional Services after the CAT interpretation: Online Congregation Presentation of CAT results - $ 350.00Customized Executive Summary of CAT results - $ 350.00Strategic Planning - 2 hour Consulting Session via Zoom - $ 450.00Clergy Transition Planning and Search - 2 hour Consulting Session via Zoom - $ 450.00Listening Sessions - Help creating Congregation-wide Listening Sessions/Holy Conversations Questions and Best Practices via Zoom - $ 450.00Other notes or is 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 if I have ordered an onsite interpretation or any onsite consulting that travel and other expenses will be billed separately. Payment Options How will you be paying today?* *Pay with Paypal Pay by credit card A third party (such as a regional association or consultant) pays for this service *Unless previously arranged, your assessment will be ready once payment is received. You have asked us to bill a third party for your assessment please add below the name of Organization the invoice is being sent to and the email address of where the invoice should be sent. Please note without this information we cannot build your assessment. Total $ 0.00Credit Card Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2324252627282930313233 A receipt and a paid invoice will be emailed to you once we charge your credit card. Thank you! CommentTo Submit Order!
