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Adoptions
VineyardUSA Church Adoption Application
Step
1
of
18
5%
Personal History
Name
First
Last
Date
MM slash DD slash YYYY
Consent
I agree to allow all information found in this questionnaire to be made available to the National, Regional, or Area leadership of Vineyard USA or their assignees, for their exclusive use in assessing this application for adoption to the Vineyard USA.
Signature
Home Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Place of Birth
City
State / Province / Region
Date of Birth
DD slash MM slash YYYY
Age
Sex
Male
Female
Social Security Number
Marital Status
Single
Married
Widowed
Date Married
DD slash MM slash YYYY
Date Widowed
DD slash MM slash YYYY
Names and ages of children
Have you ever been divorced?
No
Yes
Has your spouse ever been divorced?
No
Yes
Please write the circumstances of that divorce.
Have you had any sexual experience outside of marriage during your ministry?
No
Yes
Please explain.
Education
List High School, College, or Graduate Schools attended.
Please include information about degrees received, majors, and courses that are pertinent to ministry.
Employment History
List all employment in the past 10 years (dates, companies, position and duties, reason for terminating/leaving.
Have you ever been arrested and convicted?
No
Yes
Please explain.
Have you ever declared personal bankruptcy?
No
Yes
Please explain.
Are you over sixty days delinquent on any payments?
No
Yes
Please explain.
When and where were you saved?
What was the date and circumstance of your initial exposure to Vineyard?
Please give the names of the Vineyard pastors you have connected with:
Please give the names of the Vineyard churches you have visited.
Include how many visits have you had to each of the listed churches.
Which of the materials given to you after you expressed a desire to adopt into the Vineyard have you read?
If you have read George Eldon Ladd's The Gospel of the Kingdom, can you explain his teaching on the Kingdom of God?
Yes
No
Unsure
Haven’t read yet
If you have read Rich Nathan’s book Empowered Evangelicals, what is meant by that term?
Can you explain the Vineyard Prayer Model?
Yes
No
Unsure
Do you have a Small Group Ministry in your church?
Yes
No
What is your background in doing small group ministry?
Some common forms of church government are Congregational, Episcopal, and Presbyterian. Please explain what you understand Vineyard USA’s government to be. What does this mean in terms of local church autonomy? What does it mean in terms of the authority of the National Director, the National Board, or the Area Leaders?
Why do you wish to join the Vineyard USA?
Detail your expectations regarding your association with Vineyard.
What concerns do you have about joining the Vineyard USA?
Has the Lord spoken to you personally and specifically about joining the Vineyard?
Yes
No
Please explain how and when.
How do you envision your future relationship with Vineyard USA overseers?
What has to happen for your church to make the necessary changes for adoption?
What steps have you taken in the process?
What is your preferable time frame for adoption?
If adopted into the Vineyard USA, what will you name your church?
How will you formalize the legal change?
Are you aware of any opposition in your church to your adoption into the Vineyard? Give details.
Are you aware of any opposition among your leaders to your adoption into the Vineyard? Give details.
Are you aware of any opposition in any current association or denomination of which your church is a part? Give details.
Ministry History and Beliefs
List responsibilities and positions held in any church body.
Are you licensed by any church body?
Yes
No
With whom?
Are you ordained?
Yes
No
With what association?
Date
MM slash DD slash YYYY
Have you been associated with any denomination, fellowship, or association of churches in the last ten years?
Yes
No
Name all associations and contact people within the associations.
Do you have any continuing obligation to any association or denomination for any reason?
No
Yes
Please explain.
Have you ever left the ministry (ministry employment) for any reason?
No
Yes
Give details.
Have you ever been disciplined by any group?
No
Yes
Give the details.
Are you a member of any ministerial association in your local community?
No
Yes
Share your views on the inerrancy of Scripture in 1-3 paragraphs.
Share your views on the kingdom of God in 1-3 paragraphs.
Share your views on the baptism in the Holy Spirit in 1-3 paragraphs.
Share your views on theology and practice of healing in 1-3 paragraphs.
Share your views on demonization and deliverance in 1-3 paragraphs.
Share your views on spiritual gifts in 1-3 paragraphs.
Share your views on tonguess in 1-3 paragraphs.
References
Give as personal references the names, addresses, and phone numbers of at least two people; preferably one ordained pastor and one layperson who has received your ministry.
Consent
I hereby waive my right of access to these recommendations and any appropriate attachments which have been written by the people making the recommendations on behalf of my application for adoption by the Vineyard- USA. This waiver is effective insofar as the recommendation is used solely for the purpose of assessing my application for adoption by the Vineyard USA.
Name
First
Last
Relationship
Phone
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Name
First
Last
Relationship
Phone
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Church History
Give name, address, phone numbers, and education of all other members of your church staff.
Are you the planting or founding pastor of this church?
Yes
No
Was your church sponsored or otherwise helped at its startup by any other group, association, or denomination?
Yes
No
Detail the other group's involvement.
When did your church start?
MM slash DD slash YYYY
Has your church experienced any splits?
Yes
No
Give details. What was the outcome?
Has your church experienced any church mergers?
Yes
No
With what group(s)?
Date
MM slash DD slash YYYY
Has the church been involved in any lawsuits?
Yes
No
Give details.
Have there been or are there now any threats of lawsuits?
Yes
No
Give details.
Has your church been related to any denomination or association in the past?
Yes
No
What was the nature of the relationship?
Are there any unresolved issues with respect to any denomination or association?
Do your church by-laws require your congregation to approve of adoption by Vineyard USA?
Yes
No
Has the church or any of its leaders pursued affiliation with any other association, denomination or other grouping?
Yes
No
Give the reasons for non-association with such body.
What is the church’s vision statement?
How is the church involved in ministry to the poor?
What commitments do you currently have for missionary support?
Legal issues of the church
Are you a tax-exempt corporation?
Yes
No
Include form 1023 requesting letter of exemption and letter from IRS recognizing exemption.
Max. file size: 100 MB.
Do you have Articles of Incorporation?
Yes
No
Upload Articles of Incorporation.
Max. file size: 100 MB.
Does the church have bylaws?
Yes
No
Upload bylaws.
Max. file size: 100 MB.
Has the church deviated from the articles and by-laws in the last three years?
Yes
No
Please explain.
Has the church made corporate minutes in the last three years?
Yes
No
Upload a copy of the church's corporate minutes from the last three years.
Max. file size: 100 MB.
Has there been any church discipline against any members exercised in the last three years?
Yes
No
Give details of circumstances.
Does the church own real property?
Yes
No
In whose name is real property held?
In whose name is any mortgage held?
What is the Mortgage amount outstanding?
If the church rents property, what is the monthly rent?
Where are the financial and legal records kept for the church?
Who has control of such records?
Give general description of the facility where your church meets.
What are the insurance limits for your church?
What are the liability coverage amounts for the church?
Are all federal, state and local tax deposit obligations current?
Yes
No
Give details.
Has the church complied with all federal, state and local payroll and payroll reporting requirements?
Yes
No
Please explain.
Are there any accounts payable, notes payable or other financial obligations delinquent for more than thirty days?
Yes
No
Give details.
Give schedule of all long-term debt including note holder, name, address, original amount, current balance, and payment amounts.
Church Demographics
Median age?
Median income?
Racial composition?
Average weekly attendance at weekend service in the past month
Average weekly attendance at weekend service six months ago
Average weekly attendance at weekend service one year ago
Average weekly attendance at weekend service three years ago
List all ministries currently active in the church
List all social, political action involvements in the community
Financial Information
Please provide current income statements and a current balance sheet
Drop files here or
Select files
Max. file size: 100 MB.
Please provide Income statements and balance sheets, if available, for the last three years.
Drop files here or
Select files
Max. file size: 100 MB.
Give monthly contribution amounts for the last two years.
Compensation For Staff & Pastors
What is the compensation history for the Senior Pastor for the last three years?
For other leaders in the last three years?
How was compensation determined for the Senior Pastor?
Who was involved in the decision-making? Give names, addresses and telephone numbers.
How was compensation determined for other staff members?
Commitments
Do you understand the financial commitments required of you by Vineyard USA?
Yes
No
Please explain your understanding.
What other commitments do you think you will need to make as part of your commitment to help the Vineyard achieve its God-given mission?
What commitments do you understand Vineyard USA is making to you when you become a Vineyard pastor or church?
