Outreach Ministry Report Form

Prison unit or Youth Development Center

Type of Study

Disciple I
Disciple II
Disciple III
Disciple IV
Invitation to Old Testament
Invitation to New Testament
RINGS OF FELLOWSHIP
Beginnings

Day of the week the study took or takes place

Time of the study (ex. 6:00PM-8:30PM)

List the names of all certified volunteers participating in the study

Provide the names and phone numbers of any non-certified participant

In the space below, please provide DBOM with a brief summary of this year's study including number of participants, concerns or joys or other information you wish to share with our office.

We plan to lead the following study in the fall

Disciple I
Disciple II
Disciple III
Disciple IV
Invitation to Old Testament
Invitation to New Testament
RINGS OF FELLOWSHIP
Beginnings
Uncertain at this time
Please contact me
I will be unable to continue in the fall (please provide information below)

In the space below, please provide additional information you wish to share on your plans for the coming season.

Form completed by:

Email: