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Date Submitted *
First Name *
Last Name *
Title (If in VCFI Leadership)
Area(s) of Ministry for which you are responsible or serve in.
Changes in your information?
Do you think you have spent adequate time in prayers this month? * Yes No
Do you think you have spent adequate time in Scripture this month? * Yes No
Do you think you have spent adequate time in personal worship this month? * Yes No
Have you watched,listened to,said,or done anything this month not spiritually healthy or pleasing to God? * Yes No
Do you think you have spent adequate time with your family this month? * Yes No
Have you made contact with any families this month, outside of services and other than other leaders? * Yes No
Have you spent time with other leaders this month, outside of services? * Yes No
Are there any issues in your area of ministry you need counsel with? * Yes No
Do you have anything God has spoken to you, dreams, prophecies, etc.? Yes No
Other Comments


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