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Tell Us About You

If you minister in a senior facility,
please tell us about it here.

For Ministry Workers...
TELL US ABOUT YOU!

Thanks for taking a look around! Introduce yourself to us! We'd love to know more about you and to keep in touch by email now and then!

Mrs. Ms. Mr. Mr. and Mrs.

First Name: *
Last Name: *
City: * State: *
Zip: * E-Mail:

Name of "your" current place of ministry...address not needed.

City: * State: *
Zip: *

What type of facility? Check all that apply!
Nursing Home
Assisted Living Home
Retirement Home
Other - Please Describe

What type of ministry? Check all that apply!
Church Services
Bible Studies
Hospital/Rehab Visits
One-On-One Visits
Other - Please Describe

How many years have you been involved in Senior Ministry?
1 - 5 Years
6 - 10 Years
11+ Years

Tell us a story about your ministry. - 1000 character limit.

Use the box below to send your comments, questions and prayer requests. - 1000 character limit.

SL2G might like to post a portion of your feedback in the future. Please indicate if we may use your name and/or your email address.
Yes No

Thank you for taking the time to complete this form. We value your input!

ShiningLight2Gether is an arm of ShiningLight2Seniors
An Evangelical Protestant-Based Effort

To email Sharon directly: Click Here