KAIROS PRISON MINISTRY LEADER SPIRITUAL BIOGRAPHY
Proposed Spiritual Bio
Rev July 2013
NAME:
ADDRESS:
HOME TELEPHONE:
E-MAIL:
MOBILE TELEPHONE:
REQUESTING LEADER APPROVAL FOR: OHIO PRISON, TYPE KAIROS WEEKEND KI, KO OR
TORCH (Example Chillicothe Correctional Institution, Kairos Inside):
WEEKEND NUMBER:
APPROXIMATE DATE:
DATE ATTENDED OR WILL ATTEND AKT:
STREET WEEKEND ATTENDED (Cursillo, Emmaus, Tres Dias, 8th Table etc. & DATE OR IF NONE
ENTER NONE):
KAIROS WEEKEND PARTICIPATION (LIST UP TO LAST 5 KAIROS WEEKENDS)
(INSTITUTION, KAIROS NUMBER & POSITION HELD):
1.
2.
3.
4.
5.
KAIROS LEADER BIOGRAPHY
Page 1
KAIROS PRISON MINISTRY LEADER SPIRITUAL BIOGRAPHY
ADVISORY COUNCIL SUBMITTING NOMINATION (KI, KO, TORCH):
BRIEF EXPLANATION OF WHY YOU WANT TO BE A KAIROS WEEKEND LEADER:
HOME CHURCH & YEARS IN ATTENDANCE (Religious affiliation, years attended, leadership
positions held if any:
PERSONAL TESTIMONY(optional):
KAIROS LEADER BIOGRAPHY
Page 2