Change a Life

Ministry Participant Questionnaire

The Donation Center Initiative
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which day(s) of the week are you available?*

SundayMondayTuesdayWednesdayThursdayFridayOther
Which day(s) of the week are you available for a Zoom interview?*

SundayMondayTuesdayWednesdayThursdayFridayOther
How can our ministry help you?

FoodClothingHousingLaundryBaby SuppliesChild CareEmployment and Financial PlanningOther
What contribution are you interested in making to the upbuilding of your community?
Should be Empty:

Ministry Participant Questionnaire