Form Test Instructional Request for Help Name (Congregation/School/Camp)Date MM slash DD slash YYYY Geographic Location: Mailing Address: City: State ZipPhone:populationLocation (area of state): # of consecutive sojourns:Best time to call Name Person to contact: Elder, Leader, or PreacherAddress Title PhoneName Names and Addresses of Elders or Principle LeadersAddress Title PhoneName Address Title PhonePreacher's Name Address PhonePreacher StatusFULL TIMEPART TIMEUNKNOWN# of MembersChurch Information OnlyAttendance Sunday AMSunday PMMidweek% 10-19 yearsWhat percent of the congregation represents the following age categories?% 20-39 years% 40-59 years% over 60 yrsCheck the Instructional work you would like the Sojourners to do: Listening Lab Christ Applied Successful Living Singing Workshop How to Study the Bible Church Leadership Development Spiritual Growth Workshop Equipping the Saints Evangelism Workshop Early Childhood Christian Development Teaching Bible Lessons with Power Point Personal Evangelism Workshop Christian Parenting Other - Please list your need not listed above:Water?YESNOAre hookups available on property?Sewer?YESNO30 Amp?YESNODo hookups have electric?How many?50 Amp?YESNOHow many?Inside building, close to door or window? Where is the main electrical box located so we can connect into it if necessary?Middle of building, not easily accessible to outside? Outside the Building? Where is dump located for dumping RV sewer water? Is Permit Required to park RVs? If so, has it been obtained? Sojourners to Park in RV Park? Cost/Week Name and location of the RV ParkWilling to help with this expense? To what extent? Dates: Any other information or explanation needed:The Sojourner who will teach your request will contact you.Requestor Elder/Deacon/Preacher/Member/DirectorRequestor Ph#
