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Post-Visit Report
One volunteer from each team should complete this report after each visit. Thank you for helping us to provide consistent ministry and follow-up.
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* Indicates required question
Form being filled out by:
*
Your answer
Date of Visit:
*
MM
/
DD
/
YYYY
Volunteer Names:
*
Your answer
Division:
*
6 Annex (2 Dorm 4)
6
8 RTU
8 RTU Annex (5)
9
10
11
Other:
Location within Division:
*
Chapel
Multiuse Room
Specific living units (please specify which ones in "Other")
Other:
Required
My visit today consisted of (mark all the apply):
*
One-on-one visits
Informal small groups
Prayer service in chapel or meeting room
Prayer service in living unit
Communion
Required
Approximate number of detainees visited:
*
Your answer
Problems I encountered:
Your answer
A conversation or encounter that stood out to me this week:
Your answer
Priest Referrals (Include Name, Inmate ID #, Reason for Referral, and Language if not English):
Your answer
Prayer Request to share with Prayer Ministry:
Your answer
Any additional comments:
Your answer
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