MinistryHomeApp

Name: ____________________________________ spouse: _______________________

Address of residence: ______________________________________________________

Church/Ministry: _____________________________ position _____________________
                                                                                        Circle one: full-time part-time

Address of ministry: _______________________________________________________

Phone: _________________________________________________________________
            home                   church                   cell                      fax

Email: __________________________________________________________________

What is the best way to reach you? Phone/cell/email _____________________________
Alternate (emergency) contact: ______________________________________________
                                    Name                         phone number

Children’s names and ages that will be coming with you:
name                                                                 age

_________________________________ ________

_________________________________ ________

_________________________________   _______

_________________________________   _______


Requested dates for vacation: 1st choice _______________________________________

                                             2nd choice ______________________________________

(check in Saturday afternoon – check out Friday afternoon of the following week)

Doctrinal Statement:

   The Bible is the inspired, the only infallible, and authoritative Word of God. It is our sole guide for
              doctrine and guide for daily Living.
   We believe that there is only one God, eternally existent in three Persons: Father, Son, and Holy
             Spirit.
   We believe in the deity of our Lord Jesus Christ come in the flesh. In His virgin birth, in His sinless life, in
             His miracles, in His bodily Resurrection, in His ascension to the right hand of the Father, and in His
             imminent personal return in power and glory. Jesus is the only Advocate and intermediary between
             God and man.
  Man cannot do anything to merit salvation from God. Without personal repentance for sins, man is lost
             and separated from God; salvation is only by the grace of God through faith in Jesus Christ
            our Lord.
  We believe in the present ministry of the Holy Spirit by whose indwelling the repentant sinner becomes a
             new creation and is empowered to live a godly life.
  We believe in the resurrection of both the saved and the lost; the saved unto the resurrection of life and
             the lost unto the resurrection of damnation.

Do you and your church/ministry you lead believe these truths?                Yes        No

Reference:
Name ___________________________________ relationship _____________________

Phone _______________________
Rules and Guidelines
1.        No smoking or candle burning at any time inside or on the premises.
2.        No illegal drugs or alcoholic beverages.
3.        No adult-rated, pornographic, indecent, or inappropriate material of any kind.
4.        No pets. Sorry no exception.
5.        No additional guests without prior consent of the church hostess.
6.        Missing or broken contents will be paid for by guests.
7.        Guests must notify the church hostess when they arrive and upon departure.
8.        All guests must be responsible for their own personal property and agree not to hold the church or
             hostess liable.

Church Hostess: Shirley Farrell Home: 231-588-2521 Cell: 231-218-6911
I have read and agree to the rules and guidelines above:

Signed __________________________________________ date __________________