Please enable JavaScript in your browser to complete this form.Church Name (As you would like it to appear on the assessment) *Church Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour congregation's average weekly attendance Your Name (Please Note: We ask that we just have one contact person per congregation) *FirstLastYour title/role *Email *PhoneYour Middle Judicatory/Regional Association *How did you hear about us? Another church or clergy person Our Regional Association (i.e. Presbytery, Diocese, Conference, etc.)The Internet Our consultantOther 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 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 $75?YesNoWhat Clergy language should we use? *Current Pastor/RectorFormer Pastor/Rector (use if former pastor/rector left less than 4-6 months ago and the interim has been there for less than 6 months)Interim Pastor/Rector (use if the interim has been there for more than 6 months)Your 5 supplemental questions (optional): Please select your Average Weekly Attendance Range *Under 150 persons150-499 persons500-749 persons750-999 persons1000+ personsWould you like to add one additional subreport to your order? Please note the cost per subreport is $75.00. Reports by AgeReports by Worship Service Time which need to be included in the supplemental questions Reports by Tenure in Congregation Date you are wanting to launch the assessment: Who 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 Online Interpretation and additional Online presentation for Congregation Holy Cow Consulting onsite interpretation*Holy Cow Consulting onsite interpretation and onsite Congregational Presentation**Travel and other expenses will be billed separately We would like to order an Executive Summary prepared by our Holy Cow! Interpreter (delivered 5 business days after interpretation) YesNoIf using your own interpreter, please give us their name and email address:Would you like to receive an additional report of your congregation's data compared to other congregations during COVID for $80.00? Yes NoIs 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. Total $ 0.00Credit Card Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2122232425262728293031 A receipt and a paid invoice will be emailed to you once we charge your credit card. Thank you! NameTo Submit Order!
