New Light Church — Awareness / Action Request
Submit details about the issue, urgency, and where it occurred so leadership can review and take next steps.
Reporter & Contact Information
Member Name
*
Submitted By
*
First Name
Last Name
Team / Council
Please Select
Elders
Deacons
Worship
Outreach
Youth
Children
Facilities
Administration
Other
Role
Email
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Issue Classification & Location
Issue Type
*
Please Select
Member Care Need
Facility/Building Issue
Safety Concern
Ministry Operations
Other
Building / Location
*
Please Select
Greensmark Drive Campus
MRC Estate Spring
Love City USA
Off-Site/Other
Specific Location Details
Issue Details & Urgency
What happened or what's needed? Who is affected? What have you already done?
*
Urgency
*
Low awareness only
Medium needs action soon
High needs prompt attention
Date observed
-
Month
-
Day
Year
Date
Photos
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Ticket
Should be Empty: