Contact Information
Name:
Position/Title:
Paid Staff Member:
Volunteer Staff Member:
Name of Church/Organization:
Mailing Address:
City:
State:
Zip/Postal Code:
Phone (day):
Phone (evening):
Fax:
Email Address:
Organization Website:
Meeting/Event Information
I. Meeting/Event Date(s)
1st Choice
2nd Choice
II. Type of Meeting/Event
Type:
Training Seminar Youth Rally SYATP Gathering Associational Convention Banquet Summer Camp Winter Retreat Festival Other
III. Location of Meeting/Event
Location:
Church Camp/Retreat School Gym/Auditorium Civic Auditorium Park Stadium/Arena Hotel Other
IV. Topics To Address (i.e. Leadership, Teamwork, Sexual Issues, Heroes of the Faith, etc.)
Topics:
Assement Questions
How many times will I speak/train?
How did you find my ministry?
Length of each session?
Approximate size of group?
Do you have a theme?
What is the primary goal of your meeting/event?
Evangelism Fellowship Worship Discipleship Minsitry Other
Who will be the target audience?
What will be the biggest cultural/ethnic mix of those attending?
Please Choose White African American Hispanic Asian Other
What is your budget for a speaker?
Additional Information:
