Ministry Partner

Completed By

Email

Phone Day

Phone Evening

Chairperson

Email Address

Daytime Phone

Evening Phone

Vice Chairperson

Electronic Mail

Daytime Telephone

Evening Telephone

Program Activity

Purposeofactivity

Day of the Week

Date of the Week

Timeframe (Beginning and Ending Time)

Number of Participants

Location

ProgramFormat

Contractual Agreement Required

Contractual Agreement Attached

Projected Expenses

Paid for by Ministry

If not by Ministry then how will this be funded

Requisition Submitted

If Yes
Date

Refreshments

Special Requests
Bulletin Insert

Production (mics, recording, etc)

Publications (program, flyer, etc)

Marquee

Music (choir, soloist, etc)

Room (set up, etc)

AdditionalComments