CLERGY CAUCUS HEALTH ASSESSMENT CHART

(printable copy) 

Patient's Name: _________________________________________
                                                                       (Your clergy caucus)

___ Medical History: please check any of the following conditions that apply to this patient:

___ Meetings are not held monthly meetings are not regularly scheduled.
 

___ No ongoing expectation of one-on-ones among clergy.
 

___ Little or no effort to reach out to non‑participating pastors of member congregations.
 

___ No recruitment committee.
 

___ Theological reflections are not regularly part of our Clergy Caucus meetings.
 

___ Most of the clergy don't know Regional Representative to the Gamaliel National Clergy Caucus (GNCC).
 

___ Clergy Caucus does not regularly send clergy to the annual GNCC National Clergy Training.
 

___ Little or no involvement of Clergy Caucus in support of fundraising events of the organization*
 

___ Little or no agitation about increasing level of organizational dues
 

___ Agenda for meetings not sent out ahead of time to our pastors/religious leaders
 

___ Little or no strategy for building relationships with judicatory leaders
 

___ Little or no agitation about strength of our core teams
 

___ Meetings are perfunctory and/or task oriented, non‑relational, uninspiring
 

___ Turnout for meetings is usually low (on average, only about ___% of our clergy show up)
 

___ Our Clergy Caucus plans no annual events to deepen the spiritual life of the organization
 

___ Our Regional Clergy Caucus is non‑existent or ineffective
 

___ Most of our clergy have not been to weeklong training
 

___ Issues and actions of the organization are not processed or promoted by the Clergy Caucus

*"organization" refers to the local congregation‑based organization

How many clergy/religious leaders are active in your Clergy Caucus?    ____

How many of these are African‑American?                      ____

How many of these are Latino?                                          ____

How many of these are women?                                        ____

About how many of the congregations in your organization do you think have a significant low income membership?  _____

What is the formula for dues in your organization?

About what percentage of your organization's annual budget is covered by dues? _____

Please name one or several victories on issues in which your clergy have played a leadership role:

What do you think is the prognosis for this patient?

What resources do you want from Gamaliel and/or the Gamaliel National Clergy Caucus to strengthen the health of this patient?

Person completing this form (your name): ____________________________

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