New Life Church & Ministries

P O Box 1268 Hillsville, Virginia 24343

General Office: 276-730-0704 Fax Line: 276-730-0705 Email: ministry@nlcm.net

R. Leon Goad - General Overseer

Ministers Yearly Report

Name: __________________________________________________________________________________

Address: ________________________________________________________________________________

City: ___________________________State: ____________ Zip: ___________ Country: __________________

Phone: ___________________________________________ Fax: __________________________________

Email: ____________________________________________ Website: _______________________________

Current Ministry Position: ____________________________________________________________________

(If you are a Pastor please fill out this section)

Church Name: ____________________________________________________________________________

Address: ________________________________________________________________________________

City: ___________________________ State: _________________ Zip: ___________ Country: _____________

Phone: ________________________________________E-Mail:____________________________________

Number in congregation: _________ Members added this year_________Number receiving salvation__________

(If you are an Evangelist please fill out this section)

Number of Meetings held: ___________ Estimated Number Souls witnessed to: ___________

Number of Souls That Received Salvation: ____________

If you would like to write a update about your ministry you may attach another sheet with this information.

_______________________________________________________________________Signature Date

Please e mail to: ministry@nlcm.net. Or mail to:

New Life Church and Ministries

PO Box 1268

Hillsville, VA 24343

Or Fax to: 276-730-0705