This form must be fully completed by the last Friday in October. This form will be sent to your State/Regional Office and a copy will be sent to your email.Supervising Pastor's NameSupervising Pastor Email Date MM slash DD slash YYYY Ministerial File#MIP Candidate's NameSupervising ChurchThe next button will appear once you choose your State/Region.Describe your relationship with the candidate and the candidate's spouse:Did you give the candidate and the candidate's spouse a monthly assignment sheet? Yes No Did you meet weekly with the candidate and the candidate's spouse? Yes No If not, explain:Identify the topics and assignments you completed this month.Teaching TopicsEstablishing community and ministerial relationships Yes No Establishing evangelism methods Yes No Establishing church outreaches Yes No Planting a church Yes No Examples of Coordinating AssignmentsAttend a ministerial association meeting and a denominational ministers meeting, such as a district meeting Yes No Witness to one person Yes No Initiate and maintain an outreach during MIP, such as a convalescent home worship service. Yes No Discuss the experience of planting a church with a church planter. Yes No Name other topics and assignments completed this month:List knowledge and skills the candidate and the candidate's spouse acquired this month:List areas where the candidate and the candidate's spouse need improvement:Inform the MIP coordinator if the candidate and/or the candidate’s spouse have special issues that need to be addressed by the coordinator.Name of State/Regional Office(Required)— Select a State/Region —AlabamaAlaskaArizonaArkansasBahamas-Turks IslandCalifornia/NevadaCanada (Ontario)Canada (Quebec/Maritimes)Canada (Western)DelmarvaEast Central Hispanic RegionFlorida (Cocoa)Florida (Tampa)Georgia (North)Georgia (South)Great Lakes RegionGrenadaGulf Rio Grande Hispanic RegionHawaiiHeartlands RegionIllinoisIndianaKentuckyLouisianaMichiganMid-Atlantic Hispanic RegionMidlands RegionMinistry To Military (MTTM)MinnesotaMississippiMissouriNew England (Hispanic)New England (Northern)New England (Southern)New JerseyNew MexicoNew YorkNorth Carolina (Eastern)North Carolina (Western)North Central Hispanic RegionNorth Central RegionNortheastern Hispanic RegionNorthwestern Hispanic RegionOhioPacific Northwest RegionPennsylvaniaRocky Mountain RegionRomanian TerritorySouth CarolinaSouth Central Hispanic RegionSoutheastern Hispanic RegionSouthwestern Hispanic RegionTennesseeTexasVirginiaWest VirginiaConfirm(Required) I have completed this form to the best of my ability. PhoneThis field is for validation purposes and should be left unchanged.