ARCH Record of Ministry (REVISED 2/2021)
Use this form to document your experiences with ARCH related Ministry. Recording helps us keep track of how many Friends are experiencing ARCH ministry, so we can report all our good work to our funders. So THANK YOU!!
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Visitor Name *
Best Phone Number for Visitor
Your Home Region *
Person with whom you visited's Home Region *
Name of Person Visited
(This is optional especially if this information is confidential)
Date of Visit *
MM
/
DD
/
YYYY
Mode of visit *
Required
Place of Visit *
Required
Issues discussed *
Issues discussed and/or reviewed with person (Please check all that apply)
Required
Additional concerns *
These are some of the psycho/social and/or emotional issues presented by many. (check all that apply)
Required
Suggestions made
(if any, we know that it isn't always about suggesting anything)
Next Steps for You
Next Steps for Them
Date of next visit (if any)
MM
/
DD
/
YYYY
Other Comments
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