Team Application – BRAZOS VALLEY EMMAUS COMMUNITY

BRAZOS VALLEY EMMAUS COMMUNITY TEAM APPLICATION
Complete this form to be considered as a team member for the upcoming walk.
Today's Date

MonthDayYear
Date
Name*
Email*
example@example.com
Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DOB*
Gender*

MaleFemale
Church Affiliation
Church Address (City, State)
Are you a member of the Clergy (Yes/No)?
Occupation
Previous Walk History: Walk Attended / Reunion Group
Community Name
Walk #
Home Church (include city)
Reunion Group Name
Previous Team Service History
List most recent team service first; date of service, position, talks given, etc.*
How are you willing to serve? (Please select all that apply):

ParkingThursday arrivalSaturday candelightSunday closingRegistrat supportGreeterCandelightThursday set-upSunday cleanupKitchenConference Room TeamOutside Team
Other Areas you might want to serve
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.
Use this field to share additional information if necessary
Should be Empty:

BRAZOS VALLEY EMMAUS COMMUNITY TEAM APPLICATION