Regional Representative From

Regional Representative Quarterly Form

Name *

First

Last

Region (Select One) *

Email *

Phone Number (txt) *

Phone Number (VP) *

Phone Number (Voice) *

Select which Quarter *

Today's Date *

How many Districts are in your Region? *

How many of these Districts have Coordinators? *

How many total UPCI Churches in your region? *

How many of these UPCI churches have Deaf Ministries *

How many Deaf saints are in your region? *

How many Deaf have received the Holy Ghost this Quarter? *

How many have been baptized this quarter? *

How much money has your region raised this quarter? *

What kind of suggestions, concerns, ideas,or information can you give us to help us improve Deaf Ministry? *

Upload your list of District Coordinators and their contact infromation *

Max file size: 20MB

Upload each District Coordinator you contact this quarter and how you contacted them. Also, list all the Districts/Coordinators you didn't contact and give the reason why you didn't contact them. *

Max file size: 20MB

Upload your list of potential District Coordinators, their information, their pastor's information and why you think they would make a good District Coordinator *

Max file size: 20MB

Upload a list of all the churches in your region that have Deaf Ministries along with their church name, address, contact information, pastor's name, and Deaf Ministry coordinators name and information *

Max file size: 20MB

Upload a list of Interpreters and their certifications in your region *

Max file size: 20MB

Submit