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Leaders Information Sheet
Please complete the information requested below and click the submit button when completed. If you have any questions, contact us by e-mail or call Jill Anderson at 574-267-5774.
Title
Rev. Mr. Mrs. Miss. Ms.
Please provide the following contact information:
First Name Last Name Middle Initial Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail
First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
HI Audiovisual Instructor's Name:
Languages I speak:
Primary language spoken in your ministry area
I can minister with media in the following languages:
Which form(s) of audiovisual best meet(s) your needs in ministry?
Video Filmstrips Overhead Transparencies 16mm Films Audio Cassettes Other - Explain below: Other:
Video Filmstrips Overhead Transparencies 16mm Films Audio Cassettes
Other - Explain below:
Other:
What audio/visuals does your ministry currently own and implement?
Video Filmstrips Slides Overhead Transparencies 16mm Films Audio Cassettes Other
What experience have you had with audiovisuals in ministry?
Much use Some use Never used Ready to begin
What audiovisual, if any, have you produced for your own ministry?
Video Filmstrips Slides Overhead Transparencies 16mm Films Audio Cassettes Art Work Other None
PRIORITY LIST. Please number in order of importance, with "1" the highest, and "6" the lowest, which of the following would be the most helpful to your ministry.
Videos Filmstrips Overhead Transparencies 16mm Films Audio Cassettes PowerPoint Presentation Development Tutorial
Videos
Filmstrips
Overhead Transparencies
16mm Films
Audio Cassettes
PowerPoint Presentation Development Tutorial
Can audiovisual media be sent to you by mail?
ok to send by mail
Please add your AVangelism Vision Statement below:
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