G.R.A.C.EMMAUS

(Greater Rose Area Community Emmaus)

ONLINE APPLICATION for TEAM SERVICE

Your Name:

Spouse's Name:

Address:

City:

State:

Zip:

E-mail Address:

Home Phone:

Work Phone:

Church:

Denomination:

Church Address:

State:

Zip:

City:

I made my:

Do you play a musical instrument?

What instrument?

Do you meet regularly in a reunion?

Where at, and what time?

I have served on the following Walks:

Did you know that the Team pays the same amount as the Pilgrims?

Team time preference:

Date:

Ext.:

    Community         Walk #   Camp or Retreat CenterJob/Talk:

RED FIELD DESIGNATOR Denotes as required information

Church Phone:

Use TAB Key to move between fields.

Personal

Information

Church

Information

Community:

Walk No.:

Date:

Walk and Team Service Information

Use TAB Key to move between fields.

I submit that the above information is correct to my knowledge and that I am willing to serve my Lord in what ever capacity is needed on the Team.

Signature:

The above information is to be used solely for Team Selection, and is not divulged or used for any other purposes.

Include Area Code

Include Area Code

MM/DD/YYYY

MM/DD/YYYY

EmmausChrysalis CursilloTres DiasVia De CristoKairos

Yes
No

Yes
No

YesNo

SpringFallBoth