Newsletter Signup Form Please take a moment to complete the form below. Name* First Last Title* Town* Zip code* Cell numberOther phone number Email* Congregation/House of Worship or Organization* Please select the newsletters you are interested in receiving.* Illinois Monthly Faith and Health Resources Wisconsin Monthly Faith and Health Resources Trauma Informed Congregations Network Quarterly Faith and Mental Health Newsletter The following information is not required but helps us know more about the kinds of faith and health activities going on in the region so we can be more effective partners. Thanks for taking a moment to complete this part.Number of members: (If congregation/house of worship)Primary ethnicities of the people you serve: Primary languages spoken by the people you serve: Do you currently have a formal health ministry or health promotion program? Yes No Thank you!Please type the characters you see in the picture into the field below.