First and Last Name Spouse's Name (if applicable) Email Address Phone Number Home Address Are you currently serving in ministry full-time? Yes No How many years have you served in ministry? Have you attended the Refresh Conference previously? Yes No If so, how many years have you attended the Refresh Conference? Name of Your Church/Ministry Ministry City and State What is your role/job title in your ministry? What is the approximate size of your ministry (in terms of people)? Does your church allot money in the budget for you to attend a conference annually? Yes No If so, how much does your church allot? Using the scale below, please rate your level of weariness in the ministry currently (1-10) 1 (Ready to Quit) 2 3 4 5 6 7 8 9 10 (Fully Energized) How do you anticipate this conference aiding you and your ministry? Is there any other information you would like to share?
