ASLAN "I CAN HELP" FORM

Please use this form to volunteer for ASLAN and/or to offer to support us
with your prayers and gifts. When you have finished, please click the
"Submit Form" button at the end of the form. If you make a mistake and
wish to clear the form, please click on the "Reset Form" button at the end.

Please note that all asterixed fields (*) are mandatory. Your form cannot
be processed if any of them are left blank. The two referee fields are
alternatives - please complete either one or the other.

Please provide the following contact information:

* First Name
* Last Name
* Title
Church
Denomination
* Street Address
Address (cont.)
* Town
County
* Post Code
Country
* Home Phone
Work Phone
Mobile Phone
* E-mail

* What is the best way to contact you?

* What is the best time to contact you?

Would you like to give any more information about yourself
(relevant experience/skills, training/certificates)?

* Are you a committed Christian?

Yes No

either If you are from All Souls Church, please give the name of a
Ministry Team member or church leader who can give you
a reference

or If you are not from All Souls, or new to All Souls, please give the
full name, address and telephone number of a community official
who can give you a reference (e.g. minister of religion,
justice/magistrate, doctor, school headmaster)

Please indicate which area(s) of ASLAN you wish to be involved in:

 Wherever ASLAN needs me
 Sandwich-making
 Tea Run
 Day Centre                                  
 Social Evenings
 Visiting (previous experience required)
 Prayer support at home for a Visiting Team (Mon. evenings)
 Advocacy - during the daytime - occasionally
 Advocacy - during the daytime - regularly   

Please indicate any (other) ways in which you would like to support us:

 Please send me details of regular giving/Gift Aid
 Please send me Project Pathfinder support details
 Please post me your monthly prayer letter
 Please email me your monthly prayer letter           
 Please send details of monthly prayer meetings

* I understand that ASLAN will store my details on their database for
contact purposes, but that they will not give my details to anyone else
without my prior permission. I agree to this use of the information I
have provided.

Yes No

* Please enter the date on which you are submitting this form

-- dd/mm/yy