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ABC-WI Church Visit Report
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City
*
Choose
Beloit
Brookfield
Delavan
Fond du Lac
Green Bay
Green Lake
Greenfield
Honey Creek
Ixonia
Janesville
Kenosha
La Crosse
Madison
Mauston
Milwaukee
Neenah
Racine
Richland Center
Sheboygan Falls
South Milwaukee
Tomah
Waukesha
Wauwatosa
West Allis
Wisconsin Dells
Wyocena
Other
Church
*
Choose
First
Bridge Point
Calvary
Carson Chin
Christ
Church of the Living Water
Church on the Porch
Community
Community Chinese
Community of Greater Milwaukee
Emmanuel Chin
Falls Community
Federated
First/Hispanic Congregation (Waukesha)
Grace Community
Greater Galilee Missionary
Greater Mount Zion Missionary
Greater New Hope Missionary
Holy Mount Carmel Missionary
Holy Temple Firstborn Missionary
Hopewell Missionary
Iglesia Bautista El Calvario
Iglesia Bautista Renacer
Iglesia Evangelica Bautista
Immanuel
Indian
Jeremiah Missionary
Karen
Memorial
Metropolitan Missionary
Milwaukee Chin
Milwaukee Myanmar Christian
Mount Moriah
Mount Zion
Mount Zion Missionary
New Hope Missionary
Peniel Karen
Pilgrim Rest Missionary
Progressive
Saint Paul Missionary
Smyrna
Tabernacle
Tangible Word
The Open Door
True Worshippers Community
Underwood Memorial
Unlimited Life in Jesus Christ
Whiting Community
Other
Date of Visit
*
MM
/
DD
/
YYYY
Senior Pastor Name
*
Your answer
Visit initiated by
*
Region Staff Initiated
Pastor Initiated
Church Member Initiated
Other Church Staff Initiated
Other:
Required
Contact
*
Choose
In Person
Telephone
Virtual/Teleconference
Other
Context of Visit
*
Worship Service
All-Church Meeting
Committee Meeting
Special Occassion
Church Ministry Event
Other:
Required
Purpose(s) of Visit
*
Business Meeting
Circuit Ministry/Interim Support
Consultation
Mission Appeal
Mission Training
Preaching/Pulpit Supply
Speaker (non-preaching)
Special Presentation
Special Recognition
Other:
Required
Attendance
*
Your answer
Requiring Additional Attention/Special Concern
*
Yes
No
Maybe
Timeline for Additional Attention
Next week
1
2
3
4
5
Next year
Clear selection
Additional Notes
Your answer
Submitted by
*
Choose
Mindi Welton-Mitchell
Carolyn Dugan
John Jones
Jim Carlson
Kim Drost
Other
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