FacebookThis field is for validation purposes and should be left unchanged.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.Date MM slash DD slash YYYY Supervising Pastor's NameSupervising Pastor Email Ministerial File#Supervising ChurchMIP Candidate's NameDescribe 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-NationalCanada-OntarioCanada-Quebec/MaritimesCanada-WesternDelmarvaEast Central Hispanic RegionFlorida (Cocoa)Florida (Tampa)Georgia (North)Georgia (South)Great Lakes RegionGrenadaGulf Rio Grande Hispanic RegionHawaiiHeartlands RegionIllinoisIndianaIndonesianKentuckyLouisianaMichiganMid-Atlantic Hispanic RegionMidlands RegionMinistry To Military (MTTM)MinnesotaMississippiMissouriNew England HispanicNew JerseyNew MexicoNew YorkNorth Carolina-EasternNorth Carolina-WesternNorth Central HispanicNorth Central RegionNortheastern Hispanic RegionNorthern New EnglandNorthwestern Hispanic RegionOhioPacific Northwest RegionPennsylvaniaRocky Mountain RegionRomanian TerritorySouth CarolinaSouth Central Hispanic RegionSoutheastern Hispanic RegionSouthern New EnglandSouthwestern Hispanic RegionTennesseeTexasVirginiaWest VirginiaConfirm(Required) I have completed this form to the best of my ability.