NorthEast Ohio Intercession Network
Commitment & Pastoral Referral Form

As a candidate for consideration as an intercessor with the NorthEast Ohio Intercession Network, I confess to being a disciple (follower of the Lord Jesus Christ.  I am personally involved in a daily prayer relationship with the Lord and am willing to commit to intercede on a daily basis for the Church of Northeast Ohio and the city-wide prayer concerns within my region.

As an Intercessor, under the spiritual authority of my pastor and the leadership of a General and a Captain within NEOIN, I commit to faithfully pray, daily for those concerns that are disseminated through the weekly emails or telephone calls and the monthly calendar

I, further commit to attend NEOIN's training and equipping conferences and seminars that I may increase in excellence and effectiveness as I serve the Lord as an intercessor.

I will resign this responsibility if my actions would in any way bring dishonor to my Lord, my church and/or the NorthEast Ohio Intercession Network.


Name __________________________________________     Date ___________

Address  ________________________________________________________________

City __________________________________State ______________ Zip ___________

Phone ______________________     E-mail ___________________________________

Local Church  _________________________________________________________

Address   ____________________________________________

City ___________________________________State _____ Zip________

Church Phone______________________ Pastor _____________________

PASTOR’S RECOMMENDATION

I can attest to the spiritual walk of this intercessor and fully support his/her participation in the
NorthEast Ohio Intercession Network.


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Pastor’s Signature                                                                                                                                                                       

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Signature of Intercessor                                                                                                                                                                      

 Return to:  NorthEast Ohio Intercession Network,  P.O. Box 38164 – Cleveland, OH - 44138