Prayer Targets Survey

Select the Education Level of Your Prayer ConcernSelect the Education Level

What is your perspective in education?ParentStudentTeacherPrincipalSuperintendentSchool BoardAdministratorSupport ProfessionalSubstituteTransportationLegislatorOther

If you selected other, please enter your perspective.

What is your area of concern?Community/NeighborhoodLocalRegionalStateNationalGlobalLegislationSocio-Cultural

What are your Top 3 Prayer Concerns?

Prayer Target 1

Prayer Target 2

Prayer Target 3

Do you have any additional comments?

Optional Info

Dr. Patricia may contact you to follow up.

PrefixMr.

First Name

Middle Name

Last Name

Email Address

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