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Disability Ministry Interest Form
Thank you for your heart to serve individuals and families impacted by disability. Please complete this form so we can learn more about how to support you.
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Church/Organization Information
Church/Organization Name
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Your answer
Church/Organization Website
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Your answer
Location (City, State)
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Your answer
Denomination/Affiliation
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Your answer
Contact Person Information
Full Name
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Your answer
Title/Role
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Ministry Status
Check all that apply
We are interested in starting a disability ministry
We are looking to grow or strengthen an existing ministry
We currently offer limited support (i.e. buddies, special events)
We already have a formal disability ministry in place
We are exploring what this could look like for our church
We need help training/equipping staff/volunteers
We're looking for a speaker/workshop for our church
What are your top 2-3 goals, hopes, or needs related to disability ministry?
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Your answer
Who are you hoping to serve? Check all that apply
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Children with disabilities
Teens with disabilities
Adults with disabilities
Families and caregivers
Siblings of individuals with disabilities
Individuals with intellectual/developmental disabilities
Individuals with physical disabilities
Individuals with sensory sensitivities (autism, etc.)
Required
Currently, approximately how many individuals or families do you serve with known disabilities?
Leave blank if unknown.
Your answer
Why is this ministry important to you or your church?
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Your answer
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