Prison Ministry Volunteer Form
Today's Date *
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First Name *
Last Name *
Date of Birth *
MM
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YYYY
Email Address *
Street Address *
Apartment or Unit # *
PUT NA if this is Not Applicable to you
City *
State *
Zip Code *
Country *
Home Phone Area Code *
Example (502)
Home Phone *
Example 555-5555
Cell Phone Area Code *
Example (502)
Cell Phone Number *
Example 555-5555
Best Time to Contact You by Phone *
Time
:
Nickname you would like to use on letters *
Marital Status *
How Many Pen Pals do you want to start writing? *
If you are applying to be a Pen Pal, Would you prefer to write:
Leave this Blank if you are not interested in being a Pen pal
What age group inmate would you prefer to write? *
Age Group
Required
What are some of your hobbies or interests, so that we might match you up with someone of like interests if possible?
How did you find out about our ministry? *
What Church do you attend regularly? *
Your Church's Address *
Include city, state zip and country
What is your Pastor's Name? *
What is your Pastor's Email Address?
What is your Church's Phone Number? *
How many years have you known your Pastor? *
REFERENCE
Reference First Name *
If you are a member of Evangel or another church, please submit a reference of a member there who has known you for at least one (1) year.
Reference Last Name *
Reference Street Address *
Reference City *
Reference State *
Reference Zip Code *
Reference Country *
Reference Email Address *
Reference Phone Number *
Please provide a brief testimony of your salvation experience and the approximate date you were born again: *
Pen Pal Rules: http://www.evangelprisonministries.org/index.php/pen-pal-rules
I agree to abide by the Rules of the EVANGEL PEN PAL MINISTRY. I hereby certify that I have read, understand, and agree with Evangel Prison Ministry's Statement of Faith and the Pen Pal Ministry Rules, that I am at least 18 years of age, a born-again Christian, and in regular attendance at my home church. When we receive your submission, we will contact you. Thanks and God bless!
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Which Area of Ministry do you desire? *
Required
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