Church Representative Application Form


A Church Representative will be someone who a Church Leader nominates to mobilise prayer in your local church. We hope to encourage people to set up prayer triplets to pray for local streets. We also want to get feedback of which streets are being prayed for across the UK. We hope that a Church Representative will work to encourage people to pray for their streets, map out which streets are covered and share this information with us. In addition, we are seeking to tell stories of how praying for and caring for neighbours, changes streets across the UK. We also want to highlight the work of the church in this area and share these stories to encourage other churches.


Telephone Number:*
Email Address:
Name of your church:*
Denomination of your church:*
Position in church:
Church leaders name:
Church leaders email address:
Church leader's contact details, telephone number:
Website address of the church:
Briefly tell us why you want to carry out this role:
Please tell us how you became a Christian:*
Please enter the verification number on the right:*
seven five six five three
* Required Fields