Register a Cross Cultural Ministry

Please fill out ALL Information **( Indicates Required Information)* NOTE: Use "Tab" key to move through input spaces!**
Title for this ministry:*
Sponsoring Congregation or Agency:*
Congregation Address:
City:
State/Province:*
ZIP:
(###-###-####) Phone:
Contact Person's Name:
Contact Person's E-mail address:
Primary Ethnic Group Served:* (Click Here for Help)
Secondary Ethnic Group(s)Served:

Description of ministry:* (What you are doing in this project)

Resources you found helpful:

Estimated costs:

Date this ministry was started:*	(mm/dd/yyyy)
NOTE: Ministries started after 01/01/1999 will be counted as part of the Pentecost2000 project. Ministries begun before that date will be listed as "Existing" Ministries.

NOTE: The following information is REQUIRED in case there are questions about the information submitted, but will not be posted on the web site.
Name of person submitting this information:
E-mail address of person submitting this information:

If one of the "Fifty Hero's" influenced the start of this cross-cultural ministry, please select their name from the pull-down menu.

After you are satisfied with everything you have typed in or selected,
Click on the "Submit" button below.

(To clear the form, which blanks out everything you typed so far,
Click on the "Reset" button.)

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