Prison Ministry Church Survey

Please return to ministries@cccsda.org or fax to 559:347-3120


        1.        Does your church have a Prison Ministry team? Yes    No    (circle one)

2. Who is your Prison Ministry Leader?

         Name:_____________________________________________________________

Cell Phone:_______________________________________________________

  E-mail:____________________________________________________________

         N/A_______________________________________________________________

3. If you do not have a team, please supply the name of a person who is very active in Prison Ministry.

          Name:__________________________________________________________

   Cell Phone:_____________________________________________________

e-mail:_______________________________________________________

 4. Please check the Ministries that your church is involved in.

                       __Letter Writing

__Juvenile Hall Visitation

__Local Jail Visitation

__State Prison Visitation (Name of Prison________________)

__Federal Prison Visitation (Name of Prison_____________)

__Angel Tree-Children’s Program

__Family Ministry

__Bible Studies

5. Share any other Prison Ministry activities you are involved in: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ 6. Barring all limitations, what creative ideas would you like to see incorporated in our Conference Prison Ministry.

________________________________________________________________________________________________________________________________________________________________________________________________________________________

7.Please supply your contact info:

Name:__________________________________________________________________

Address:________________________________________________________________

Phone:_________________________________________________________________

Email:__________________________________________________________________