Date

Ministry Name

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Email

Website

Denominational Orientation

Denominational Affiliation

Primary Organization Type

Home Office Staff

These are staff members in roles such as; mobilization, member care, finance, admin, church partnership etc… and may be remote or in a centralized location.

Total Number of Home Office Staff

Full-Time, Part-Time and Volunteers (Should be the total of the following three fields)

Of the Total Number: Full-Time Equivalent Staff (W-2, 1099 or T4 staff)

Of the Total Number: Part-Time Equivalent Staff (W-2, 1099 or T4 staff)

Of the Total Number: Volunteer Staff

Home Office Staff Diversity

Only report on US or Canadian Citizens who are (W2, 1099, T4 or Volunteers)

Percentage (%) of Total Home Office Staff who are: Asian or Pacific Islander

Percentage (%) of Total Home Office Staff who are: Black/African American

Percentage (%) of Total Home Office Staff who are: Hispanic or Latino

Percentage (%) of Total Home Office Staff who are: Native American or Alaskan Native

Percentage (%) of Total Home Office Staff who are: White or Caucasian

Percentage (%) of Home Office Staff who are: Multiracial or Biracial

Percentage of Home Office Staff who are: A race/ethnicity not listed here

Short-Term Workers

This could be US or Canadian W2, 1099, T4 workers, college students, or volunteers.

Short-Term Field Workers: 2 Weeks or Less

Anyone sent to the field from your organization for 2 Weeks or Less

Short-Term Field Workers: More than 2 Weeks but less than 1 Year

Anyone sent to the field from your organization for 2 Weeks but Less than 1 Year

Short-Term Field Workers: 1-2 Years

Anyone sent to the field from your organization for 1-2 Years

Total Short-Term Field Workers (Auto Calculated)

This number is the total of the fields above and should also match the total for the following Field of Service designations.

Short-Term Field of Service

Of your Short-Term Workers how many staff served within or are focused on each region:

Canada (US or Canadian citizens serving in cross-cultural ministry in Canada)

United States (US or Canadian citizens serving in cross-cultural ministry in the USA)

Mexico

Central America

Caribbean

South America

Europe

Central Asia

East Asia

South East Asia

Oceania

Sub-Saharan Africa

North Africa/Middle East

Global Ministry (Region unspecified for security purposes)

Long-Term Field Workers

US or Canadian (W2, 1099, T4 Workers)

Long-Term Field Workers: 2-4 Years (US or Canadian Citizens)

Long-Term Field Workers: 2-4 Years (Non-US or Canadian Citizens)

Long-Term Field Workers: More than 4 Years (US or Canadian Citizens)

Long-Term Field Workers: More than 4 Years (Non-US or Canadian Citizens)

Total Long-Term Workers (Auto Calculated)

Of the Total Long-Term Workers: How many are tentmakers?

These people are filling a job that was offered in a culture (ex. working for FedEx in Ghana).

Of the Total Long-Term Workers: How many are using (BAM) a business as a ministry platform?

These people have organized a business in a country that is creating a job for oneself or others.

Of the Total Long-Term Workers: How many are single women?

Of the Total Long-Term Workers: How many are single men?

Attrition Data – Total Field Workers who left the organization in the last calendar year

For US and Canadian Citizens who are field workers. This could be W2, 1099 or T4 workers who resigned retired, were terminated, etc…

Long-Term Field of Service

Of your Long-Term Workers how many served within or are focused on each region

Canada (US Canadian citizens serving in cross-cultural ministry in Canada)

United States (US or Canadian citizens serving in cross-cultural ministry in the USA)

Mexico

Central America

Caribbean

South America

Europe

Central Asia

East Asia

South East Asia

Oceania

Sub-Saharan Africa

North Africa/ Middle East

Global Ministry Region unspecified for security purposes

Field Staff Diversity

Only report on US or Canadian Citizens who are (W2, 1099, T4 or Volunteers)

Percentage (%) of US/CA Field Staff who are: Asian or Pacific Islander

Percentage (%) of US/CA Field Staff who are: Black or African American

Percentage (%) of US/CA Field Staff who are: Hispanic or Latino

Percentage (%) of US/CA Field Staff who are: Native American or Alakan Native

Percentage (%) of US/CA Field Staff who are: White or Caucasian

Percentage (%) of US/CA Field Staff who are: Multiracial or Biracial

Percentage (%) of US/CA Field Staff who are: A race/ethnicity not listed here

Form Submitted By:

Name

First Last

Title

Role

Email

Phone

MNx Member Data Form

Home Office Staff

Home Office Staff Diversity

Short-Term Workers

Short-Term Field of Service

Long-Term Field Workers

Long-Term Field of Service

Field Staff Diversity

Form Submitted By:

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