Care Team Application
Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Text?
*
Yes
No
Mobile Carrier
Email
*
example@example.com
Which form of communication do you use most frequently?
*
Email
Facebook Messenger
Texting
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you attended Crosspointe?
*
Have you accepted Jesus Christ as your Savior?
*
Yes
No
Do you have a desire to be in a leadership role at Crosspointe?
*
Yes
No
Which opportunity (or opportunities) are you applying for?
*
Meal Team
Counseling/Mentoring Team
Call Team/Visitation Team
Funeral Team
Intercessory Prayer & Grief Support Team
What is your availability during the week?
*
Weekdays, During the Day
Weekends and Weekdays After Work
Other
If your availability is "Other," please explain:
Submit
Should be Empty: