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 closingRegistrar 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
This form can be completed online and automatically sent to the Team Selection Committee by choosing SEND, or printed and mailed to the address below.

Team Selection
Brazos Valley Emmaus Community
PO Box 10491
College Station, TX 77842
Should be Empty:

BRAZOS VALLEY EMMAUS COMMUNITY TEAM APPLICATION