Break Free Today

Full Name

Gender

Male

Female

E-mail Address

Contact Number

Date of Birth

Education

GED / Diploma

College

Tech Shool

Veteran

Yes

No

Type of Discharge

Field of Work

Disabled

Yes

No

Health Problems

Medications

Probation

Yes

No

Why Do You Want To Enter Promise Land

Our vision is to reach the lost for Christ, meet the needs of our community and impact or world with Love, Truth and Grace.

Mailing Address 20 Church Rd, Crawfordville FL 32327

amen@promiselandministries.org