Church
Planter’s Name:
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Prerequisites
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Suggested
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Checklist
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Ö
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Assessment
done
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Ö
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I-9
(legal status)
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Ö
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Health
Insurance
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Ö
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Annuity
enrollment
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Ö
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Auto
Insurance
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Ö
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Basic
training
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Ö
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Supervisor
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Ö
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Mentor
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Ö
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Partners
Covenant completed
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Ö
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Church
Planter Network
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Ö
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Target
Community identified
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Ö
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Payment
made to church?
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Ö
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Church
EIN #
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Ö
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Annual
church profile prepared - Instructions
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Ö
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Contributing
to CMBA & Cooperative Program
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Ö
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Church
Planter reporting to CMBA (necessary for release of check) Template
& Instructions
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Multiple
support sources known
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Nehemiah
project/support/duration __________
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Rental
Assistance provided $_______ amount
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