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Member Data Form

Posted on October 6, 2020 by November 4, 2020

Greetings Missio Nexus member!

You have three options to complete this form:
1. Fill out the online form below. Important – make sure you are signed in to this site so you can save this form as you proceed in case you need to come back at a later time to complete it.

2. Click here (Member Data Form) if you would like to download a spreadsheet version of this questionnaire to fill out to prepare your answers before filling out the online form.

3. Click here (Member Data Form) and download the spreadsheet, fill it out and send it to our team and we will input it into the online form for you. After you fill out the spreadsheet email it to: hguinto@missionexus.org

NOTE: If you submitted the Member Data form and/or the Mission Handbook form in 2020 and would like a copy in order to make this process easier just email hguinto@missionexus.org and we will get you a pdf of your previously submitted data.

If you are submitting this information in 2020 please use 2019 data, if you are submitting this information in 2021 please use 2020 data.

Step 1 of 11

9%

04/08/2021
Name of Your Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Website*
Year Founded
Previous Name(s) of Your Organization
Include names of Mission Organizations that have merged.
Is Your Organization …*
- Denominational
- Nondenominational
- Interdenominational
- Other
If Denominational, Which One?*
Please write your answer in the line below.
If You Chose Other, Which Would It Be?*
Please write your answer in the line below.
Agency Type*
- Sending (An agency whose primary function is to send North American workers cross-culturally)
- Service (An agency whose primary function is to provide a service to overseas churches or other agencies)
- Support (An agency whose primary function is to provide a specialty to the mission community or global church)
- Specialized (An agency whose primary function is to supply financial support or other material help to national workers or the global church)

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Activities
(Select at least ONE but not more than SIX in total from all categories of the following which describe the primary activity of your organization.)
Education and Training
- Audio Recording and Distribution
- Children's Education
- Correspondence Courses
- Church, School or General Christian Education
- TEE or Other Extension
- Theological
- Internet Training
- Leadership Development
- Linguistics
- Literacy
- Literature Distribution
- Literature Production
- Management Consulting or Training
- Missionary/Worker Training
- National Worker Support
- Pastoral Training
- TESOL or TEFL
- Translation, Bible
- Translation, Other
Evangelism and Discipleship
- Apologetics
- Bible Distribution
- Bible Teaching
- Bible Translation
- Camping Programs
- Children's Ministry
- Church Development
- Church Planting (Establishing)
- Church Planting Movements (CPM)
- Disciple-Making Movements (DMM)
- Discipleship
- Ethno-Musicology
- Evangelism: Mass
- Evangelism: Personal or Small Group
- Evangelism: Student
- International Student Ministries
- Internet Discipleship
- Linguistics
- Orality or Storying
- Sports Ministry
- Tentmaking
- Video/Film Production or Distribution
- Youth Ministry
Mission Agency Support
- Aviation
- Business as Mission
- Church Construction
- Counseling
- Crisis Management and Security
- Fund Raising
- Grants for Christian Healthcare Professionals
- Housing for Missionaries
- Information or Journalism
- Management Consulting or Training
- Member Care
- Mobilizing for Missions
- Partnership Development
- Prayer/Intercession
- Purchasing or Supply Services
- Research
- Short-Term Mission Trip Coordination
- Spiritual Renewal
- Technical Assistance
Relief and Development
- Adoption
- Agricultural Assistance
- Business Solutions for Poverty
- Childcare or Orphanage
- Children at Risk
- Church Construction or Financing
- Community Development
- Disabled Ministry
- Environmental Missions
- Hearing Aids
- HIV/AIDS Ministry
- Human Trafficking
- Justice or Peace Issues
- Literacy
- Medical Supplies
- Medical Ministry/Dental Ministry
- Member Care
- Persecuted Church
- Refugee Ministry
- Relief and Aid
Which ONE Activity above is most commonly associated with your organization as your PRIMARY activity?*

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Budget
TOTAL Income*
What is the TOTAL income of your organization for all ministries (domestic and international) for your last completed fiscal year, including gifts-in-kind?
Income for International Ministry*
From the total for all ministries reported in the previous question, what was the amount of income designated for international ministry?

(This is not money you received from foreign sources)
Currency of reported income:*
- US Dollars
- Canadian Dollars

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Home Office Staff
Total Number of Home Office Staff*

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SHORT-TERM Field Staff
SHORT-TERM Field Staff: 2 Weeks or Less*
SHORT-TERM Field Staff: More than 2 Weeks but less than 1 Year*
SHORT-TERM Field Staff: 1–2 Years*
Short-Term Field of Service
Of your Short-Term Field Staff how many served or were focused on each region. (Please enter a numerical total for each. Use 1 for each single, and 2 for couples.)
North America (Americans Serving in Canada)*
North America (Americans Serving in the United States)*
North America (Canadians Serving in Canada)*
North America (Canadians Serving in the United States)*
Central America (Including Mexico)*
Caribbean*
South America*
Europe*
Asia*
Oceania*
Africa*
Middle East*
Global Ministry*
(Region unspecified for security purposes)

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LONG–TERM Field Staff
LONG-TERM Field Staff: 2–4 Years*
LONG-TERM Field Staff: More Than 4 Years*
Among LONG-TERM Field Staff, How Many Are Working Cross-Culturally in North America?*
Among LONG-TERM Field Staff, How Many Are Tentmakers?*
Among LONG-TERM Field Staff, How Many Are Single Women?*
Among LONG-TERM Field Staff, How Many Are Single Men?*
Long-Term Field of Service
Of your Long-Term Field Staff, how many served or were focused on each region. (Please enter a numerical total for each. Use 1 for each single, and 2 for couples.)
North America (Americans Serving in Canada)*
North America (Americans Serving in the United States)*
North America (Canadians Serving in Canada)*
North America (Canadians Serving in the United States)*
Central America (Including Mexico)*
Caribbean*
South America*
Europe*
Asia*
Oceania*
Africa*
Middle East*
Global Ministry*
(Region unspecified for security purposes)

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Diversity of Staff
Due to changing classifications of race and ethnicity we are seeking to be clear in collecting the following information. Hispanic/Latino statistics are collected separately from race designations.
What percentage (%) of your Total Staff (Home Office and Field) are: HISPANIC/LATINO
Racial Perecentages
What percentage (%) of your Total Staff (Home Office and Field) are: WHITE/CAUCASIAN
What percentage (%) of your Total Staff (Home Office and Field) are: BLACK/AFRICAN-AMERICAN
What percentage (%) of your Total Staff (Home Office and Field) are: ASIAN/PACIFIC ISLANDERS
What percentage (%) of your Total Staff (Home Office and Field) are: OTHER
If Other, Please List Percentage and Racial/Ethnic Origin

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Mobilization Data for the Last Calendar Year
Number of Interested Long-Term Field Missionaries*
(expressed interest via phone, form, or with a mobilizer)
Number of Candidates/Applicants to be Long-Term Missionaries*
(In the application process)
Number of Appointed/Hired/Pre-Field Missionaries*
Number of Long-Term Missionaries Who Departed for the Field*
Short-Term Missionary Interest
(Expressed interest via phone, form or with a mobilizer)
Number of Interested Short-Term Missionaries: 2 WEEKS OR LESS*
Number of Interested Short-Term Missionaries: MORE THAN 2 WEEKS but Less than 1 Year*
Number of Interested Short-Term Missionaries: 1-2 YEARS

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Attrition Data
(For organizations with Field Staff)
Field Missionaries Who Left the Organization in 2020*
(Overseas and North American cross-cultural workers)

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Main Contacts
Please enter N/A on the "First" and "Last" name fields if this is not applicable to your organization.
CEO*
First Last
Email Address*
Church Relations Contact
First Last
Email Address
Director of Mobilization
First Last
Email Address
Director of Training
First Last
Email Address
Director of Finances
First Last
Email Address
Director of IT
First Last
Email Address
Director of Operations
First Last
Email Address
International Director
First Last
Email Address
Director of Development
First Last
Email Address

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Submitted By:
Name*
First Last
Email Address*
Please Specify Your Title/Position*

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