Pastor and Clerk of Session Check-In Form

Thank you for taking a few moments to share how you are doing and what you are working on. Your responses help us support you in your work.

Your responses to this form will be sent to Jana Blazek in the presbytery office and your COM liaison and will be held in confidence.

Name(Required)

First Last

Phone(Required)

Email(Required)

Where do you see positive things happening in the life of the congregation?(Required)

What are some of the struggles facing the congregation?(Required)

On a scale of one to nine, how are you feeling about the current life, ministry and mission of the congregation?(Required)

1 - Very concerned; 5 - Neither positive nor negative; 9 - Very positive

Is there anything else you want us to know or requests you have for COM?

Please select your church's region (for reference, see the list below)(Required)

Region 1 - North Shore

Region 2 - Northwest and City

Region 3 - City and Near Northside

Region 4/5 - City, Near West

Region 6 - Far West

Region 7 - City and Southwest

Region 8 - City and Far South

1. North Shore (Region 1) - Deerfield, First | Glenview, North Branch Bible | Glenview, Chicago Joyful | Grayslake, Wildwood | Highland Park | Lake Forest, First | Libertyville, First | Northbrook, Village | Wilmette, First | Winnetka

2. Northwest and City (Region 2) - Arlington Heights, First | Arlington Heights, Southminster | Barrington | Des Plaines, Hahna | Des Plaines, Taiwan Greater Chicago | Hoffman Estates, Church of the Cross | Mount Prospect, Community | Palatine | Park Ridge | Wheeling, Evergreen

3. City and Near Northside (Region 3) - Chicago, Edgewater | Chicago, Fourth | Chicago, Friendship | Chicago, Lake View | Chicago, Lincoln Park | Chicago, Mayfair | Chicago, Ravenswood | Chicago, Rogers Park | Chicago, Vida Nueva | Evanston, First | Evanston, Northminster | Morton Grove, Community | Skokie, Carter-Westminster

4/5. City, Near West, (Region 4/5) - Broadview, Community | Chicago, Faith Community | Chicago, Good Shepherd | (Chicago, Divine Redeemer NWC) | Chicago, Pine Avenue United | Cicero, Clement (Canto) | Cicero, Emmanuel | La Grange, First | La Grange Highlands, Highlands | Oak Park, Fair Oaks| Oak Park, First United | River Forest, First | Riverside | Western Springs

6. Far West (Region 6) - Carol Stream, Heritage | Clarendon Hills, Community | Downers Grove, St. Luke | Elmhurst | Elmhurst, Yorkfield | Glen Ellyn, First | Glen Ellyn, Southminster | (Hanover Park, Dia Nuevo NWC) | Itasca, First | Lombard, Community | Naperville, Knox | Naperville, River Glen | Wheaton, First | Wheaton, Hope

7. City & Southwest (Region 7) - Chicago, First | (Chicago, Ghanaian Worshipping Fellowship) | Chicago, Crerar-Memorial | Chicago, Hope | Chicago, Hyde Park United | Chicago, Second | Chicago, Sixth-Grace

8. City and Far South (Region 8) – Chicago, New Deliverance | Chicago, Morgan Park | Chicago, Pullman | Chicago Heights, First | Hickory Hills | Homewood, First | Oak Lawn, Community | Orland Park | Park Forest, Calvary