SBCC e-form

YOUTH MINISTRY PROGRAM REQUEST FORM
* Required
First Name *
Last Name *
Email Address *
 
Address Line 1

Address Line 2

City
State
Zip Code
 
Area Code
Phone Number
Home Phone *
Fax Phone
Work Phone
  Ext:
Submission Date: *
Submitted By: *
Program Name: *
Program Date: *
Program Location: *
Start/End Times: *
Primary Biblical Purpose (Select only one): *
 Discipleship (teaching our understanding of God
 Fellowship (caring for others)
 Worship (praising God)
 Evangelism (spreading the gospel)
 Ministry (serving others)
 Life Skills (developing skills for everyday life)

Primary Target Audience (Select only one): *
 Community (no relationship with Christ)
 Crowd (willing to hear about Christ)
 Congregation (beginning relationship with Christ)
 Committed (practicing disciples growing in Christ)
 Core (dedicated life to serving Christ)

Description of Program (Specifically, how it will meet its Biblical purpose and its target audience.) *
Goals: *

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