7-Day Prayer Shelter Program


preview

PERSONAL INFOMATION
FIRST NAME
LAST NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
EMAIL ADDRESS
PHONE NUMBER
DATE OF BIRTH (xxxx-xx-xx) (Year-Month-Day)

EDUCATION
Level of Education: ElementaryHigh SchoolCollegePost Graduate
GRADUATED: YesNo
Are you saved?
If yes briefly described your salvation experience
Explain why you think you need a 7-day prayer shelter:
Briefly, what is worship to you?
Any medical condition or health issue that may preclude you from 3-day dry fasting?
Any situation that may make you violate the rule that you cannot make or receive unauthorized calls during this program?
Next of Kin; Name and Phone #:
if approved, can you make accommodation for 8 nights in any hotel of your choice in zip 22150/22151 YesNo
Choose starting date (xxxx-xx-xx) (Year-Month-Day)
Have a laptop with Skype or Big tablet with face time? YesNo
Will need the shelter's laptop or tablet ? YesNo

Leave a Reply

Your email address will not be published.