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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

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: 

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?


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

 

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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