Central Ohio Emmaus Community

Willing Servant Survey

Fill it out!If you would like to serve on a team you must fill out this form.  This will let us know that you are interested and what your Emmaus experience has been thus far.
You can update your information in one of two ways:

  • Download Excel Form
     print it, fill it out and mail it in
    -OR-

  • Please fill out all of the information on this page. When you are finished click on the submit button.
This form is a
First Submission
Update
Personal Information
First Name
Last Name
Street Address
City
State
Zip Code
Home Phone Number
Work Phone Number
E-Mail Address
Occupation
Birth Date
Emmaus Information
Emmaus Weekend Marysville    
Other Community - Name 
Emmaus Weekend Date
Current Board Position (if any)
Church Name
Active Member
of this Community?		 Active
Not Active
Non-member
Music for Weekend?   Song leader?
Play Instrument? 
Qualified Clergy
(could serve as SD or assistant)		 No
Yes
Live-In Team Service
(list walks and position)
Service
Where are you willing to serve?  Check all that apply.  Thank you!
Baby-sit at Gathering Live-In Team Prayer Vigil
Baby-sit at Candlelight Pilgrim Luggage Chrysalis Team
Baby-Sit at Closing Pilgrim Beds Any Needs - Call Me
Gathering - 4th Day Speaker Closing Setup Epiphany Team
Gathering - Music Sun. Walk Cleanup Kairos Team
Board Service Kitchen Other
Comments
 
I would like to receive The Rooster
(pick one)		 Notify by email only
Notify by email AND send by regular mail
Send by regular mail only ($5 per year)
None, I'll read it on the web

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