| First Name: |
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| Last Name: |
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| State Convention: |
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| Month Reporting: |
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Has any of your contact information
chnaged in the past month? |
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If yes, please describe what has
changed: |
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| Ministry Report |
Please describe personal and work-
related concerns or needs this month. |
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Share one or two ministry highlights
from this month: |
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How many evangelistic encounters
did you initiate this month? |
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| Share one of the encounters with us. |
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Did you personally lead someone to
Christ this month? |
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| If yes, how many? |
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If yes, please share one of your
experiences with us. |
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How can our collegiate evangelism
team pray for you this month? |
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If you would like your supervisor to
receive this report, please provide
their email address: |
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