Chi Alpha

Personal reports

Name

First Name

Last Name

Month Covered By This Report

Date Submitted to AZ Missions

MM

DD

YYYY

Email

Average Attendance

Total Monthly Disbursement Received

Personal Allowance Expenses

$

Work Expenses

$

Number of Salvations

Number of Water Baptisms

Number of Holy Spirit Baptisms

Testimony

Describe a testimony of a new convert, special service, event, or new development.

Prayer

Indicate any concerns, challenges for special prayer needs.

Activities

Summarize your ministry activities for the month.