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ED Disability Inclusion Campaign Activity Form
The form will need to be filled in collaboration with the person with disability whom you identified for inclusion in churches
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* Indicates required question
Email
*
Your email
Name of person with disability
*
Your answer
Contact details of the person with disability: Please fill-in mobile number and email address - whichever is most convenient for them to be reached on.
*
Your answer
Gender of person with disability
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Female
Male
Other:
Age of person with disability
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Your answer
What disability does the person have?
*
Your answer
Where was the person with disability when you sought them out?
*
Outside the church’s fellowship
In the Church fellowship - but not included in activities
In the church’s fellowship, included in activities but not given leadership roles
Included in church fellowship and actively involved in leadership as well
Other:
What are the barriers that the person with disability faced in becoming part of the church (This includes what the a congregation had done/not done, said/not said that has been a barrier)
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Your answer
What role would the person with disability like to play in the Church? (Keep in mind Eph. 4:15-16 and encourage the person with disability to articulate this in their own words)
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Your answer
What more can the Church do to make the person with disability feel included? (Keep in mind these biblical references as a guide: Romans 12:3-5; 1 Cor 12:4-20; vss.12,26 & 27;)
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Your answer
Which Church/fellowship does the person with disabilty attend now? (Please indicate the name of church, and city/town, and denomination (if it belongs to a wider church formation))
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Your answer
Name, Mobile number, and email ID of the person filling this form
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Your answer
Thank you for sharing the details and experiences of this person with disability with the ED network. Your effort will help us recognise and celebrate the persons with disabilities in our midst.
A copy of your responses will be emailed to the address you provided.
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