Widow Partner Application - Stand in the Gap Ministries


Widows Partner Application
Today's Date: *
CHURCH OR ORGANIZATION INFORMATION
Church or Organization Name *
Church Campus, if applicable
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Email *
Pastor's Name *
Pastor's Contact Number
Age of the Church
Approximate Number of Attenders
* * * * *
PERSON OF PASSION (POP) INFORMATION
POP First Name *
POP Last Name *
Mailing Address *
City State Zip *
POP Cell Phone *
Other Phone
POP Email *
How long have you attended this church? *
POP Gender *
Are you widowed? *
Birthday (month/day) *

SECONDARY PARTNER CONTACT (Must be associated with this Church)
First Name
Last Name
Address
City State Zip
Cell Phone
Alternate Phone
Email address
How long have you been attending this Church?
Gender
Are you a widow or widower?
Birthdate (month/day)

Widows Partner Application