Joni and Friends

Thank you for taking the time to fill out this form. At present, we are including only U.S. churches and organizations with disability ministries on our list and do not have an international directory. In the future, if this is developed we will make it available on our web page as well.

Please be sure to fill in all of the following information and include your affirmation to the Statement of Faith listed below.

Your Name:
Phone or E-Mail:
(Please Note: The above information will only be used to contact you if we need further information and will not be placed on any mailing list.)
Church/Organization:
Denomination/Affiliation:
Name of Disability Ministry:
Contact Name/Position:
Church/Org Address:
City:
State:
Zip:
Phone:
TTY:
Fax:
800#:
E-Mail:
Website:

Average Attendance of Church Ministry:
Average Attendance of Disability Ministry:

Disability/Impairments Emphasis
What is your disability or impairment emphasis?

Deaf	Blind	Mental Illness
HIV/AIDS	Physically Disabled	Developmental Disabilities
Learning Disabilities		Hearing Impaired
Other

Facility Accessibility
Does your facility have:

	Designated parking	Accessible restrooms
How many spaces?		Hallway - at least 36" wide
	Curb Cuts	Doors - 36" wide
	Ramps	Automatic doors
	Elevators	Audio Amplification (Listening systems)

Disability Ministries
IMPORTANT: Please provide a complete description for each ministry which applies.

*Type*	*Description*
	Sunday School Classes
	Bible Studies
	Support Groups
	Deaf Interpretation
	Retreats/Camps
	Conferences/Workshops
	Disability Ministry Training
	Transportation Wheelchair Accessible?
	Respite
	Caregivers
	Other Ministries or Pertinent Information

STATEMENT OF FAITH

We believe the Bible to be the inspired, the only infallible, authoritative Word of God.
We believe that there is one God, eternally existent in three Persons: Father, Son and Holy Spirit.
We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.
We believe that for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential.
We believe in the present ministry of the Holy Spirit by Whose indwelling the Christian is enabled to live a godly life.
We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.
We believe in the spiritual unity of believers in our Lord Jesus Christ.

Yes, as Senior Clergy or Officer I, , agree with the Statement of Faith shown above and authorize participation of our congregation in the Joni and Friends Churches/Organizations with Disability Ministries project.