DATE

NAME(required)

SEX (optional)

MALE FEMALE

ADDRESS (required)
CITY
STATE
ZIP

EMAIL (required)

BIRTHDAY (required)

ARE YOU MARRIED? (optional)

Yes No Refused

WHAT CHURCH YOU ATTEND OR DENOMINATION? (optional)

WOULD YOU SHARE A LITTLE OF YOUR RELATIONSHIP WITH THE LORD? (required)

DO YOU KNOW CHRIST JESUS AS LORD OF YOUR LIFE? (required)

DO YOU WRITE/READ A FOREIGN LANGUAGE? (required)

DO YOU HAVE ANY SPECIAL TALENTS OR HOBBIES THAT YOU WOULD LIKE TO SHARE?


Please Select the TYPE of Inmate you wish to write(required)

Men Women Death Row General Population No Preference

We sometimes receive death row inmates. Would you be opposed to writing them?

YES NO

Please Write in the Number of Inmates you Wish to Write
NUMBER OF INMATES TO WRITE

If You Know others that would be Interested In Becoming an "Encourager", Please send us their Names and Addresses so that we can send them Encourager Form, and a questionnaire to complete.
Fill out this Form and send their Name and Address via E-mail, or send it to the address Below.
QUESTIONS? EMAIL DONNA AT: Romans8NY@aol.com
MORE QUESTIONS? EMAIL SHARON AT: Romans8FL@truevine.net


In typing/signing this, I have read and agree to abide by the rules of this ministry.

DATE

ENCOURAGER'S NAME

PARENT/GUARDIAN SIGNATURE

WHEN WRITING INMATES PLEASE USE THIS RETURN ADDRESS TO USE ON YOUR ENVELOPE

Romans Chapter 8
P.O. Box 381
Plainsboro, NJ 08536

OR
Romans Chapter 8
P.O.Box 5316
Largo, FL 33779-5316

Click here to send Encourager Form.

Click here to clear form.