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2017 The Clerk's Annual Questionnaire CAQ 2017 Welcome to The Clerk's Annual Questionnaire 2017 (CAQ)! Here is some useful information about this survey: 1. With your link, you can start, stop and return to the survey as often as you need. 2. You can use the "BACK" button to return to previous pages. The data will not be lost. Your information is saved as you move from question to question. 3. Once you have reached the end of the CAQ, you will have the opportunity to review your responses and make changes before you submitting the CAQ. 4. On the review page, you may download your responses in as a PDF. 5. Once you submit the CAQ, an auto-response email will be sent to you with a PDF file of your responses. This is the copy of your responses that you can save in your files and/or print. The sender will be listed as Susan Barnett, PhD. 6. To print a copy of the CAQ before starting the survey, click the following link or copy and paste it in your browser. Your link to the CAQ will remain active or open while you view and/or print the PDF. http://surveygizmolibrary.s3.amazonaws.com/library/271279/2017CAQ.pdf The deadline for submission is Tuesday, December 12, 2017. If you have any questions concerning the CAQ, you may send an

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2017 The Clerk's Annual Questionnaire

CAQ 2017

Welcome to The Clerk's Annual Questionnaire 2017 (CAQ)!

Here is some useful information about this survey:

1. With your link, you can start, stop and return to the survey as often as you need.

1. You can use the "BACK" button to return to previous pages. The data will not be lost. Your information is saved as you move from question to question.

1. Once you have reached the end of the CAQ, you will have the opportunity to review your responses and make changes before you submitting the CAQ.

1. On the review page, you may download your responses in as aPDF.

1. Once you submitthe CAQ, anauto-response emailwill be sent to you with a PDF file of your responses.This is the copy of your responses that you can save in your files and/or print. The sender will be listed as Susan Barnett, PhD.

1. To print a copy of the CAQ before starting the survey, click the following link or copy and paste it in your browser. Your link to the CAQ will remain active or open while you view and/or print the PDF.

http://surveygizmolibrary.s3.amazonaws.com/library/271279/2017CAQ.pdf

The deadline for submission is Tuesday, December 12, 2017.

If you have any questions concerning the CAQ, you may send an email to [email protected].

On behalf of the offices and agencies that have included questions in The Clerk's Annual Questionnaire 2017, THANK YOU.

Information

1) Congregation's Contact Information

Clerk's First Name: _________________________________________________

Clerk's Last Name: _________________________________________________

Email Address to be used for any questions related to the Clerk's Annual Questionnaire: _________________________________________________

Name of Congregation: _________________________________________________

Congregation's Street Address: _________________________________________________

Mailing Address if different from Street Address: _________________________________________________

City: _________________________________________________

State: _________________________________________________

Zip: _________________________________________________

Church Phone Number: _________________________________________________

Church Fax Number: _________________________________________________

Church PIN: _________________________________________________

Website: _________________________________________________

2) What is the size of your congregation? ___________________________________

3) What is your average attendance? ______________________________________

What is your synod and presbytery: ___ _______________________________________________

Research Services Contact Request

5) Who in your congregationcan Research Services contact about participating in web-based surveys?

First Name: _________________________________________________

Last Name: _________________________________________________

Email Address: _________________________________________________

Street Address, City, State, ZIP: _________________________________________________

Belhar Confession

6) The Belhar Confession was added to the Book of Confessions in 2016 by action of the Presbyteries and final adoption of the 222 General Assembly of the Presbyterian Church (U.S.A.). The following questions concerning the Belhar Confession may be best answered by the pastor.

Are you familiar with the BelharConfession?

( ) Yes( ) No

7) Prior to this survey, were you aware that the Belhar Confession had been added to the Book of Confessions?

( ) Yes( ) No

8) How likely are you to include The Belhar Confession in your congregations ministry, such as a worship and/or Christian Education programming?

[ ] I have included it in a previous service, Christian education program or other activity

[ ] I am currently planning a service, program or event to include it

[ ] I do not know when, but I plan to do so at some future date

[ ] I do not expect that it will be included in our services, programs or events

9) Now that you have included The Belhar Confession in your worship service, Christian education program or other ministry event, would you be willing to share what you have done as resource for others? Check all that apply.

[ ] Yes, I would be willing to share my written outline

[ ] Yes, I would be willing to speak with other congregations in my presbytery

[ ] Yes, I would be willing to have national staff share my plan

[ ] Yes, I would be willing to share my experience

[ ] No, I am not able to serve as a resource

10) You indicated that you would be willing to share about your experiences and/or your written materials concerningThe Belhar Confession. Please list your contact information in the space provided.

First Name: _________________________________________________________________

Last Name: __________________________________________________________________

Email or Street Address, City, State, Zip: __________________________________________

Phone Number: _______________________________________________________________

11) Would it be helpful to you to learn how others have included The Belhar Confession?

( ) Yes( ) No

12) You indicated that you would like to know about how others have included The Belhar Confession. Please list your contact information in the space provided below so that this information can be sent to you.

First Name: __________________________________________________

Last Name: __________________________________________________

Church Name: _______________________________________________

Street Address: ______________________________________________

City: ______________________________________________________

State: ______________________________________________________

Zip: _______________________________________________________

Email Address: ______________________________________________

Presbyterian Disaster Assistance

13) Presbyterians have a long tradition of ministering with refuges and welcoming newcomers. There were several General Assembly 2016 overtures that emphasized the important role of churches in assisting refugees and to advocate on their behalf. Which of the following activities is your congregation currently doing? Check all that apply.

[ ] Nothing at this time

[ ] Refugee Resettlement

[ ] Providing basic needs (housing, food, clothing) for asylum seekers

[ ] Sponsoring educational events on refugees and/or immigration

[ ] Participate on Presbytery or Synod committee or task force

[ ] Participate with local ecumenical or interfaith coalition

[ ] Donate to overseas refugee emergencies

[ ] Other - Write In: _________________________________________________

14) Would your congregation be interested in receiving information about different opportunities in your area?

( ) Yes( ) No

15) Please comment about your participation with refugees, immigration and/or overseas relief support.

_______________________________________________________________________________

________________________________________________________________________________

16) If the congregation is not currently involved with ministering to refugees, would you be in interested in receiving information about opportunities in your area?

( ) Yes( ) No

17) Does your congregation currently participate in the One Great Hour of Sharing offering?

( ) Yes( ) No

18) Has your congregation participated in any of the special appeals for specific disasters?

( ) Yes( ) No

19) For which special disaster hasyour congregation responded? ______________________________________

World Mission

20) List the name and email of the pastor or staff member in your congregation who is responsible for congregational mission activity.

First Name: _________________________________________________

Last Name: _________________________________________________

Email Address: _________________________________________________

Optional: Street Address, City, State, ZIP: __________________________________________

21) List the name and email for the contact person of any committee in yourcongregation that focuses some or all of its attention on world or international mission.

First Name: _________________________________________________

Last Name: _________________________________________________

Email Address: _________________________________________________

22) What is your congregation's primary mission interest or passion?

_________________________________________________________________________________

__________________________________________________________________________________

23) Is your congregation engaged or interested in engaging in mission outside of the U.S.?

( ) Yes( ) No

24) In what geographic area(s) outside of the U.S. is your congregation currently engaged or interested in engagingin mission? You have the option to write-in a specific country or countries.

Are you ...

List the countries where your congregation is currently ENGAGED:

List the countries where your congregation has INTEREST:

Engaged

Interested

NA

Africa

Latin America /Caribbean/Mexico

Asian and the Pacific