Design Incubator Cohort Application - Fall 2021

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Church Information

Church Name/Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Church Name *

City

State

Church Phone Number*

Church Website

Church Admin/General Email*

What is your church's denomination? (e.g. PC USA, non-denominational, Methodist, Catholic, etc...)*

What is the size of your church staff/leadership team (including paid staff and pastors)?*

What most closely describes your church's location?*

How many people worship weekly with your congregation (you may include mid-week programming)?*

How many people are considered "members" of your congregation (on the rolls/books)?*

What is your church's operating budget? (If you are unsure- give us your best guess!)*

What is your church's operating budget? (If you are unsure- give us your best guess!)
	0-$500k	$500k-$1 million	$1 million-$3 million	$3 million +
2021	What is your church's operating budget? (If you are unsure- give us your best guess!): 2021 (0-$500k)	2021 ($500k-$1 million)	2021 ($1 million-$3 million)	2021 ($3 million +)
(Past) 2020	(Past) 2020 (0-$500k)	(Past) 2020 ($500k-$1 million)	(Past) 2020 ($1 million-$3 million)	(Past) 2020 ($3 million +)
(Past) 2019	(Past) 2019 (0-$500k)	(Past) 2019 ($500k-$1 million)	(Past) 2019 ($1 million-$3 million)	(Past) 2019 ($3 million +)

For how long has your Senior Pastor/Head of Staff been working at your church (in their current role)?*

0-2 years 2-4 years 5-7 years 7-10 years 10+ years Our Senior Pastor/Head of Staff is an interim We do not have a person in this role currently I'm not sure

For how long has your Youth Pastor/Youth Ministry Leader been working at your church (in their current role)?*

0-2 years 2-4 years 5-7 years 7-10 years 10+ years we do not have a paid staff person in this role, but we have a consistent volunteer team we do not have a paid staff person in this role, and we do not have a consistent volunteer team I'm not sure

Please share any big changes happening at your church (i.e. pastoral transition, building project, etc...).

150 character limit

Our weekly worship and programming (at the moment) is:*

Due to the onset of the pandemic, we have experienced...*

In your opinion, what percentage of your church is made up of young people?*

In terms of ethnic/cultural makeup, my congregation is mostly (choose the one that most closely applies):*

If you answered "Other" please tell us more about your congregation's ethnic/cultural makeup:

Is there anything else you want us to know about you/your church?

150 character limit

Why are you interested in participating in the Design Incubator? What do you hope to gain from your work with Princeton Theological Seminary's Institute for Youth Ministry?*

1500 character limit

Our goal in this program is to guide you and a core team through a process of innovation and prototyping towards a new ministry idea. Can you think of 2-3 individuals within your community who would partner with you to form a core Design Team during this experience?*

1500 character limit

Is your congregation connected to a larger network or denomination? Please share the name of the network or local denominational organization, below (i.e. "The Ecclesia Network" or "The _______ Synod/Conference/Presbytery/etc...")