Life Room Prayer Leader Application

Contact Information

Thank you for your desire to lead prayer in the abortion live prayer room! We will review your application and references and will be in touch soon.

First Name *

Last Name *

Street Address *

City *

Province / Territory *

Postal Code *

Phone Number *

Email Address *

Please let us know what prayer time(s) you would like to lead during: *

Do you have someone who can pray with you during your requested time? *

If the prayer time you are hoping for is no longer available, would you be open to another time? *

Would you be open to joining someone who needs a prayer partner during their time? *

Please tell us a bit about yourself and why you would like to lead on the Life Room: *

Which church do you attend regularly? *

What is your pastor's name? *

Please briefly list ministry or service areas that you have been (or are currently) involved in: *

Have you ever led a prayer group? If so please tell us about it. *

Please provide TWO references (names and phone numbers) of a pastor or ministry leaders who can speak to your spiritual maturity:

Reference 1: *

Reference 2: *