At Home in the Word Conference Follow-up

Please fill out and submit this form no later than 30 days following your event. Disbursement will not be awarded until this form is submitted.

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Name of Congregation *

Church of Email

ELS Circuit *

Date of Event *

Total Attendance *

Number of Church Volunteers *

Number of Attendees from Your Congregation *

Number of Attendees from Sister Congregations *

Number of Non-churched Attendees *

Was the event a success? Why or why not? *

What could be improved? *

Primary Contact Person *

Email of Primary Contact *

Phone Number of Primary Contact *

Receipts *

Drag & Drop Files, Choose Files to Upload You can upload up to 25 files.

Please attach all relevant receipts up to the maximum amount granted for your event. PDF or JPG files only.

Photos

Drag & Drop Files, Choose Files to Upload

Please attach a few photos of your event.

Submit