Adopt a Chaplain: Staff Information Form — Unchained Ministries Corp.

Chaplain/Facility Staff Information

Without Chaplains and facility staff like YOU prison ministry would not be possible! Your hard work and the effort and care you put into the lives of those experiencing incarceration does not go unnoticed. Thank you so much for participating in Adopt a Chaplain and we hope that through this program, our awesome volunteers can care for you well in return!

Please use the form below to tell us as much as you would like to about yourself. Our volunteers will use the information you provide to send you letters, pray for you, etc.

Name

First Name

Last Name

Please use the email you would like to be contacted at

Phone

Please use the phone number you would like to be contacted at

(###)

###

####

Which method of contact do you prefer?

Text

Would you like to receive physical mail from your Unchained sponsor? If so, please insert your address below.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How would you like communication to be facilitated?

I am fine with the church/individual communicating with me directly

I would like Unchained to facilitate communication (i.e., the sponsor will not communicate with you directly)

Please use the space below to tell us anything you would like us to know (your favorite food, books/authors, hobbies, color, etc.)

Do you have any prayer requests?

Any questions for us?

I understand that in submitting this form that the information I have entered will be utilized for the Adopt a Chaplain program with Unchained Minsitries.

Yes