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
2 digit month, 2 digit day, 4 digit yearDate
First Name
Last Name
Email
example@example.com
Phone
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DOB
Gender
Church Affiliation
Church Address (City, State)
Are you a member of the Clergy?
Occupation
Previous Walk History: Walk Attended / Reunion Group
Community Name
Walk #
Home Church (include city)
Reunion Group Name
The Walk Fee for Team Members is $225, which is due by the last training for all team members.

For team members NOT staying for the weekend (OT, Prayer Chapel) the only cost is $15 per meal provided by CrossRoads. (Pay cash or check to the OT Coordinator.)
List most recent team service first; date of service, position, talks given, etc.
How are you willing to serve? (Please select all that apply):
Other Areas you might want to serve
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
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