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Quarterly Report
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16
Questions
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1
READ THE "IMPORTANT NOTES"
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2
Your Name
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Mr.
Rev.
Dr.
Mr.
Mr.
Rev.
Dr.
Prefix
First Name
Last Name
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3
PLEASE CONFIRM YOUR CONTACT INFORMATION
*
This field is required.
We need to ensure our records our accurate
WHAT IS YOUR CONTACT NUMBER? (MOBILE NUMBER PREFERRED)
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Yes
No
Please Select
Please Select
Yes
No
DO YOU CONSENT TO RECEIVING TEXT MESSAGES/TELEGRAM MESSAGES?
PLEASE ENTER YOUR EMAIL ADDRESS?
Please Select
Yes
No
Please Select
Please Select
Yes
No
DO YOU CONSENT TO RECEIVING EMAIL MESSAGES?
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4
YOUR ROLE
*
This field is required.
Local Director
Local Secretary
District Director
District Secretary
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5
Which Church or District are you reporting for?
Please Select
Not Listed
Airs x(Croydon)
Airs x(East Ham)
Airs x(Hounslow)
Aldershot (South Region)
Anapausis (South London Region)
Aylesbury (South Region)
Basingstoke (South Region)
Bath (South West Region)
Beeston (North Region)
Bethany x(Kenton)
Bethany x(Slough)
Bethany x(Tamil/Sinhalese)
Bethsada Church of God x
Beautiful Gate, Bradford (North Region)
Bilston (West Mids Region)
Bolton (North Region)
Bordon (South Region)
Bradford (North Region)
Bristol (South West)
Brixton (South London Region)
Brookfield (West Mids Region)
Burton-on-Trent (East Mids Region)
Cardiff (South West Region)
Castle Vale (West Mids Region)
Charlton (South London Region)
Cheetham Hill (North Region)
Chesterfield (North Region)
Chippenham (South West Region)
Chrisma, Woolwich (South London Region)
Chuckery (West Mids Region)
Clapham (South London Region)
Clapton (North London Region)
Coventry (East Mids Region)
Coventry x(Tamil)
Crewe (West Mids Region)
Cross Cultural x
Dayspring (South London Region)
Deptford (South London Region)
Derby (East Mids Region)
Dudley (West Mids Region)
Edgbaston (West Mids Region)
Edinburgh x
Edmonton (North London Region)
Edmonton x(Tamil)
Elephant & Castle (South London Region)
Emmanuel x(Tamil)
Faith & Hope x(Kent)
Faith Church x(Liverpool)
Faith Church x(Morden)
Faith Church x(Wembley)
Farnborough (South Region)
Gateway, Peckham (South London Region)
Glory x
Gloucester (South West Region)
Grace Church of God x
Grace Church of God x
Halifax (North Region)
Hammersmith (North London Region)
Handsworth (West Mids Region)
Harlesden x(Romanian)
Harlow Church of God x
Harrow (North London Region)
Hendon (North London Region)
Herne Hill (South London Region)
High Wycombe (South Region)
High Wycombe x(Kingdom Life Centre)
Highgate (West Mids Region)
Hitchin (South Region)
Hitchin x(English)
Holloway (North London Region)
Horsham x
Huddersfield (North Region)
Ilford (North London Region)
Immanuel x(Tolworth)
Kingdom Life Centre x
Kingshurst (West Mids Region)
Lee (South London Region)
Leeds (North Region)
Leicester (East Mids Region)
Long Eaton (East Mids Region)
Low Hill (West Mids Region)
Luton (South Region)
Manchester, Brooks Bar (North Region)
Manchester x(Mahanaim)
Maranatha x
Mile End (North London Region)
Milton Keynes x(Tamil)
Morning Star Church x
Muntz Street (West Mids Region)
New Brunswick x
Newlife, Erdington (West Mids Region)
Newport (South West Region)
Northampton (East Mids Region)
Nottingham (East Mids Region)
Nuneaton (East Mids Region)
Oldbury (West Mids Region)
Oxford (South Region)
Palmers Green x(Tamil)
Peterborough (East Mids Region)
Reading (South Region)
Redditch (West Mids Region)
Rehoboth, Brockley Rise (South London Region)
Rochester (South London Region)
Romford (North London Region)
Rugby (East Mids Region)
Sheffield (North Region)
Sheffield x(Malayalam)
Slough (South Region)
Slough x(Urdu/English)
South Harrow x(Tamil)
Southall x(Punjab/English)
South Norwood (South London Region)
Southampton (South Region)
St Albans (South Region)
Stafford (West Mids Region)
Stevenage (South Region)
Stoke-on-Trent (West Mids Region)
Sydenham (South London Region)
Tipton (West Mids Region)
Tooting (South London Region)
Trowbridge (South West Region)
Verity, Stratford (North London Region)
Walsall (West Mids Region)
Wandsworth (South London Region)
Wednesfield (West Mids Region)
Wellingborough (East Mids Region)
Wellington (West Mids Region)
Wembley x(Tamil)
West Croydon (South London Region)
West Ealing (North London Region)
West London Church of God x
Willenhall (West Mids Region)
Willesden (North London Region)
Wolverhampton (West Mids Region)
Wolverhampton x(Pennfield)
Wood Green (North London Region)
Woodgate Valley (West Mids Region)
Worksop (North Region)
Please Select
Please Select
Not Listed
Airs x(Croydon)
Airs x(East Ham)
Airs x(Hounslow)
Aldershot (South Region)
Anapausis (South London Region)
Aylesbury (South Region)
Basingstoke (South Region)
Bath (South West Region)
Beeston (North Region)
Bethany x(Kenton)
Bethany x(Slough)
Bethany x(Tamil/Sinhalese)
Bethsada Church of God x
Beautiful Gate, Bradford (North Region)
Bilston (West Mids Region)
Bolton (North Region)
Bordon (South Region)
Bradford (North Region)
Bristol (South West)
Brixton (South London Region)
Brookfield (West Mids Region)
Burton-on-Trent (East Mids Region)
Cardiff (South West Region)
Castle Vale (West Mids Region)
Charlton (South London Region)
Cheetham Hill (North Region)
Chesterfield (North Region)
Chippenham (South West Region)
Chrisma, Woolwich (South London Region)
Chuckery (West Mids Region)
Clapham (South London Region)
Clapton (North London Region)
Coventry (East Mids Region)
Coventry x(Tamil)
Crewe (West Mids Region)
Cross Cultural x
Dayspring (South London Region)
Deptford (South London Region)
Derby (East Mids Region)
Dudley (West Mids Region)
Edgbaston (West Mids Region)
Edinburgh x
Edmonton (North London Region)
Edmonton x(Tamil)
Elephant & Castle (South London Region)
Emmanuel x(Tamil)
Faith & Hope x(Kent)
Faith Church x(Liverpool)
Faith Church x(Morden)
Faith Church x(Wembley)
Farnborough (South Region)
Gateway, Peckham (South London Region)
Glory x
Gloucester (South West Region)
Grace Church of God x
Grace Church of God x
Halifax (North Region)
Hammersmith (North London Region)
Handsworth (West Mids Region)
Harlesden x(Romanian)
Harlow Church of God x
Harrow (North London Region)
Hendon (North London Region)
Herne Hill (South London Region)
High Wycombe (South Region)
High Wycombe x(Kingdom Life Centre)
Highgate (West Mids Region)
Hitchin (South Region)
Hitchin x(English)
Holloway (North London Region)
Horsham x
Huddersfield (North Region)
Ilford (North London Region)
Immanuel x(Tolworth)
Kingdom Life Centre x
Kingshurst (West Mids Region)
Lee (South London Region)
Leeds (North Region)
Leicester (East Mids Region)
Long Eaton (East Mids Region)
Low Hill (West Mids Region)
Luton (South Region)
Manchester, Brooks Bar (North Region)
Manchester x(Mahanaim)
Maranatha x
Mile End (North London Region)
Milton Keynes x(Tamil)
Morning Star Church x
Muntz Street (West Mids Region)
New Brunswick x
Newlife, Erdington (West Mids Region)
Newport (South West Region)
Northampton (East Mids Region)
Nottingham (East Mids Region)
Nuneaton (East Mids Region)
Oldbury (West Mids Region)
Oxford (South Region)
Palmers Green x(Tamil)
Peterborough (East Mids Region)
Reading (South Region)
Redditch (West Mids Region)
Rehoboth, Brockley Rise (South London Region)
Rochester (South London Region)
Romford (North London Region)
Rugby (East Mids Region)
Sheffield (North Region)
Sheffield x(Malayalam)
Slough (South Region)
Slough x(Urdu/English)
South Harrow x(Tamil)
Southall x(Punjab/English)
South Norwood (South London Region)
Southampton (South Region)
St Albans (South Region)
Stafford (West Mids Region)
Stevenage (South Region)
Stoke-on-Trent (West Mids Region)
Sydenham (South London Region)
Tipton (West Mids Region)
Tooting (South London Region)
Trowbridge (South West Region)
Verity, Stratford (North London Region)
Walsall (West Mids Region)
Wandsworth (South London Region)
Wednesfield (West Mids Region)
Wellingborough (East Mids Region)
Wellington (West Mids Region)
Wembley x(Tamil)
West Croydon (South London Region)
West Ealing (North London Region)
West London Church of God x
Willenhall (West Mids Region)
Willesden (North London Region)
Wolverhampton (West Mids Region)
Wolverhampton x(Pennfield)
Wood Green (North London Region)
Woodgate Valley (West Mids Region)
Worksop (North Region)
IF YOUR CHURCH IS NOT LISTED PLEASE SELECT "NOT LISTED"
TYPE NAME OF CHURCH HERE IF NOT LISTED
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6
TELL US HOW MANY MEN ARE IN YOUR CHURCH
*
This field is required.
YOU WILL ONLY NEED TO COMPLETE THIS SECTION ONCE A YEAR
13-17YRS OLD (type a number)
18YRS-25YRS OLD? (type a number)
26YRS-45YRS OLD (type a number)
46YRS-64YRS OLD (type a number)
65YRS AND OVER (type a number)
Please Select
None
25%
33%
50%
75%
100%
Please Select
Please Select
None
25%
33%
50%
75%
100%
WHAT PERCENTAGE OF YOUR MEN ARE ACTIVE (ATTEND or TAKE PART IN MEETINGS, SERVICES, EVENTS etc)
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7
Have you kept regular contact with your Local Directors/Secretaries this last quarter?
*
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Yes
No
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8
Have you kept in contact with your men this last quarter?
*
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Yes
No
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9
What type of meetings or gatherings have occurred during the last quarter?
*
This field is required.
These could be physical meetings or online
None
Spiritual Self-development - (eg. Prayer, Bible Study or similar)
Practical Self-development - (eg. finance, communication, marriage, fatherhood etc)
Promoting, holding or hosting District/Regional/National Events or Information
Planning/Reviewing events
One on One meeting (welfare/support)
Leisure Activities (eating out, bowling, cinema, football, paintball etc)
Other
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10
What have been the significant achievements or positive developments over the last quarter within the department?
TELL US ABOUT ANYTHING YOU THINK IS GOING WELL
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11
What have been the main challenges for your group over the last quarter?
TELL US ABOUT ANYTHING THAT YOU THINK NEEDS TO IMPROVE
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12
Have you sent any financial support to Lifebuilders (National) during the last quarter?
*
This field is required.
Each church's Lifebuilders group should be sending 10% of funds collected to National Lifebuilders. Alternatively you could look at simply sending up a fixed regular amount every month or every quarter
YES
NO
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13
Please tell us how much and on what dates
We will use this information to check against our records of receipts - please be as accurate as you can
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14
Do you wish to make a payment now?
*
This field is required.
Each church's Lifebuilders group should be sending 10% of funds collected to National Lifebuilders. Alternatively you could look at simply sending up a fixed regular amount every month or every quarter
YES
NO
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15
Use this space to tell us anything else you think we should know
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16
One-off Donation
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( X )
10
GBP
20
GBP
50
GBP
100
GBP
GBP
+ OR enter a custom value
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17
Payment Methods
Debit Or Credit Card
Select PayPal Method
Choose from one of the PayPal options to
make your payment.
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