PRAYER CONTACT FORM

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PRAYER CONTACT FORM

Thank you for your valued service in this household of faith and for the care you give toward the prayer needs of our Kingdom Family! The Prayer Room Form (PCF) is purposed to help support the ongoing prayer needs of those who reach out for prayer. Please complete one (1) report per contact and include as much detail as possible.

Your Name (all Prayer Ambassadors and Clergy, please indicate first and last name only ) *

Today's Date *

TTTT

REPORT TYPE

Indicate the report type for TODAY'S prayer contact with this individual.

Report Type *

Prayer Request (initial)

Follow Up Call

Praise Report

New Salvation

Baptism Request

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Wajib diisi

PRAYER SPACE LOCATION

Indicate the location where you conducted prayer below.

Where did you pray with this individual? *

Church Main Office Number

Virtual Prayer Room (Zoom) - Main Room

Virtual Prayer Room (Zoom) - Breakout (Private) Room

Virtual Prayer Room (Zoom) - Both Main Room & Breakout (Private) Room

Altar Call (In-Person Services Only)

At Vehicle (Drive-In Services Only)

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Would they like to receive a follow up call, text or email? Indicate preference below. *

Phone Call

Text Message

No, they DO NOT want a follow up call, text or email.

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RESOURCE TYPES

Please indicate the type of resources provided during your contact following prayer with today's guest. Check all that apply. (i.e.: food bank info, scripture, etc.) *

Scriptural Reference or Spiritual Encouragement Tip

VOH Weekly Connection Options (i.e.: HOTspots, Word Cafe, Morning Manna, Sunday Service etc.)

Emergency Resource (If so, indicate type below & inform your ministry leader immediately)

Community Resource (indicate type below)

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What type of Community Resource or Emergency Resource did you provide? ONLY answer if community resources (i.e. food, clothing, shelters safety, etc.) or emergency resources that may lead to mandated reporting (i.e.: domestic violence, threat of safety, etc.) are necessary. **Ministry leader(s) are to be contacted immediately.

PRAYER REQUEST PROFILE INFORMATION

First and Last Name (Person requesting prayer)

Gender Type *

Male

Female

Prefer not to say

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Contact Number

Geographical Location (optional)

Kirim

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