First Name Please mention the first name you go by.
Last Name
Gender Female Male
Birthday Please use MM/DD/YYYY format.
Email If you are married, please each use separate email addresses, if possible.
Phone
Home Address
City
State Please make sure the state has a valid two-letter abbreviation.
Postcode
Country
Ethnicity Aboriginal / Torres Strait Islander Not Aboriginal / Torres Strait Islander Prefer Not to Answer
Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Multi-Racial Prefer Not to Answer
Multi-Racial American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
What is your household role? Single Husband Wife
Spouse First Name
Spouse Last Name
Wedding Anniversary Please use MM/DD/YYYY format.
Are you participating in the Discovery process alongside a partner organization? If so, please list that organization below. For example: a partner organization that could be a network, denomination, or sending church
How did you hear about Stadia?
Where are you now in the process? Ready to start a church. I want to start a church but need support/training. I am just inquiring - I want to know more. Not sure.
Model of church you're ready to start: Weekly gathering in a physical location Weekly gathering in a physical location with a digital presence (Phygital) Digital expression of church Micro Church Hub or Network
Additional Information you would like the Stadia Team to know Examples: I am engaged to be married. I need special accommodations. I have been through the Discovery process previously.
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