NMD Interest Form

Northern MI DeColores Interest Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Phone Number*
Please enter a valid phone number.
Type*

LandlineMobile
Email
example@example.com
Gender*

MaleFemale
Original Weekend #*
Include other group name if not Northern Michigan DeColores
Date of Weekend
Month/Year
Have you attended a 4th day workshop?

YesNo
Weekends Worked
List all positions held & talks you have given
Inside Team: I would be willing and interested in doing any of the checked positions, if asked:

Rector/Rectoress (must meet qualifications)Co-Rector/ Co-Rectoress (must meet qualifications)Spiritual Director (must meet qualifications)Head Coordinator/ CoordinatorHead Cha/ChaHead Cook/CookMusicianAuxiliaryIdeals RolloLayman/Laywoman RolloPiety RolloStudy RolloAction RolloLeaders RolloEnvironment RolloCCIA Rollo
I am a musician and I play:

GuitarKeyboardsPercussionVocalsOther
I can fill an Inside Team position on short notice:

Yes
Outside Team: I would be willing and interested in doing any of the checked positions, if asked:

24 Hr Prayer Chapel Set-Up & CoordinatorTear-Down Coordinator or CrewClean-Up Coordinator or CrewPotluck Host/HostessFood Donations CoordinatorFood DonationsKitchen Help Coordinator or CrewSponsor's ChapelHoly Hour Host/ HostessHoly Hour VideoHoly Hour HomilyPhotographerClosing Host/HostessArrange Rector(ess) SerenadeMake Cross LanyardsCross PaintingMake Aprons for Coordinators, Chas, Cooks, or MusiciansMake Faith Renewal StolesMake Weekend BannerTable Decorations
I can fill an Outside Team position on short notice:

Yes
Board Positions: I would be willing and interested in serving in the checked positions:

Vice-President CoupleSpiritual AdvisorSecretaryTreasurerRegistrationHistorianCommunicationsUltreya Host/HostessInventoryNational Board RepresentativeMusician Coordinator
Should be Empty:

Northern MI DeColores Interest Form