Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Receive text reminders? *

Yes

No

Social media

Check all that apply

Facebook

Instagram

Area of Interest *

Check all that apply

Audio

Video

Lyrics

Lighting

Camera Switcher

Camera

Photography

Social Media Moderator

Other

If the above person is a Lighthouse Ministry Leader, does this leader know you're interested in joining the Media Ministry?

Yes

No

Do you feel the Media Ministry is your primary or secondary area of ministry?

Primary

Secondary

Service Availability *

Check All That Apply

10:30a Sunday English Service

10:30a Sunday Spanish Service

7p Wednesday English Service

7p Friday Portuguese Service

Other events & services

Monthly/Weekly Availability (English/Spanish Services)

Check All That Apply

1st Sunday

2nd Sunday

3rd Sunday

4th Sunday

5th Sunday

Wednesday PMs

Monthly/Weekly Availability (Portuguese Services)

Check All That Apply

1st Friday

2nd Friday

3rd Friday

4th Friday

5th Friday

Salvation through Jesus Christ? *

Yes

No

Water baptism? *

Yes

No

Spirit baptism? *

With evidence of speaking in tongues?

Yes

No