INTERNATIONAL CHRISTIAN WOMEN'S HISTORY PROJECT

1. Which site/format is your preference?

	Dallas-Fort Worth Metroplex
	Tulsa, Oklahoma
	DVD format
	CD format
	Internet
	YOUR LOCATION:

BEST DATES?

2. GENERAL INFORMATION

Name:
Address:
Email:

3. EDUCATIONAL HISTORY
Certification, Specialized Training, or Degree(s): Completed? _____ Year completed: ______ Institution: (Note: Repeat this as many times as needed.)

4. MAIN ACTIVITIES IN MINISTRY OVER THE YEARS
Function/Activity: Location: Institution: Year(s): (Note: Repeat this as many times as needed.)

5. Introduce yourself in no more than 250 words.