Daughter Work Application Your Name (Mother Church Pastor) * First Name Last Name Email * Phone * (###) ### #### Name of Mother Church * Address of Mother Church * Address 1 Address 2 City State/Province Zip/Postal Code Country Target City * What are you currently doing for evangelistic outreach and discipleship in this city, and what type of results have you had? * If approved, do you have a minister who will be overseeing this daughter work? * Yes, it will be someone other than myself. No, it will be me overseeing it for now. PRESBYTER INFORMATION Who is your presbyter? * Have you contacted your Presbyter? Yes No Have you contacted the pastors nearest to the area where you are launching this Preaching Point? * Yes No DAUGHTER WORK INFORMATION Daughter Work Church Name * What is the primary language(s) in which the services will be held? * What are your plans for the future of this Daughter Work? * Have you developed a "plan of action" and "local church policy" to govern the relationship between the mother and daughter church (such as financial arrangements, talent, support, membership transfers, ministerial expectations, and procedures for becoming autonomous)? * Yes No Have you read the IL District Policy Form on the Missouri NAM website in regard to Daughter Works? * Yes No If approved, do you want the UPCI manual to list you as the mother church pastor or the name of the daughter church pastor? * Mother Church Pastor Daughter Church Pastor (must be licensed with the UPCI) Physical Address of Daughter Work * Address 1 Address 2 City State/Province Zip/Postal Code Country Mailing Address of Daughter Work * Address 1 Address 2 City State/Province Zip/Postal Code Country NAME OF THREE CLOSEST UPC WORKS TO YOUR TARGET LOCATION Pastor of Church One * First Name Last Name Name of Church One * Distance of Church One from Your Target City Location * Pastor of Church Two * First Name Last Name Name of Church Two * Distance of Church Two from Your Target City Location * Pastor of Church Three * First Name Last Name Name of Church Three * Distance of Church Three from Your Target City Location * Have you contacted these pastors closest to where you are wanting this daughter work? * Yes No Thank you! To be completed by the mother church pastor only.
