Prison Ministries Event Report

Your Name: Phone number (include area code): Email Address: Chapter Affiliation:

Date of Event (s): Location of Event(s) Event Name (if applicable):

Event Contact:

            Address:

            Phone Number (include area code):

            Email:

Is this an new Event? YesNo # of years

Type of Outreach (ie Alpha Course/Bible Study/Show and Shine? other?) :

Names of Other Groups/Individuals Involved:

Types of Materials Used:

Videos    Bibles    Tracts    Banners    Signage     Other :

 Total # of Individuals who attended:   #CMA'ers Attended   # Salvations:     # Recommitments:

Follow up required? Yes    No

If yes, what follow up is required?

Cost of Event (please provide breakdown):

Who provided the financial support for this event?

Describe Event (please include what made the event a success and what could be done to improve the event:

Would you recommend this event be done next year? Yes     No

Comments: