Contact Information Form

1

Name:* This field is required.

2

Phone Number* This field is required.

Area Code

Phone Number

3

E-mail* This field is required.

5

What time of day are you generally available for serving?

Mornings

Afternoons

Evenings

Varies with my schedule

6

Which of the following interests you?* This field is required.

Intercede for specific intentions/events (not onsite)

Home repair/improvement

Offer financial support

Mentor youth or adults

Special projects (food drives, fundraising, misc. initiatives)

7

If you are interested in mentoring, what is your age & gender?

8

If you are interested in serving onsite in Flint, please check off any of the following that applies to you...*Volunteers may organize the best meeting place for departure to Flint (ex. CTK, or the park n’ ride off M-14).

I prefer to carpool*, and can be the driver

I prefer to carpool*, as a passenger

I will be comfortable traveling with others in the same vehicle under certain conditions, related to the pandemic (please include these conditions in the comments section)

I prefer to caravan* (drive separately, as a group)

9

Comments or Questions?

10

Thank you for your willingness to get involved with the Flint Mission!

A member from the CTK + CCF Launch Team will reach out to you.

The Team is in the process of establishing our organizational systems.

Thank you for your patience and understanding with us, as we proceed.

May the Lord bless you richly! Mary, mother of Flint, pray for us!