SWMI Servant Survey

Servant Survey

This information will be used to help build teams in the near future.
Date

Month Day Year
Date
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Church Attending *
Weekend# *
Weekends you have served on. And what position you have done. Ex: 101, Talk *

Positions Interested in *

Head positions on DeColores Weekends. Interested in training?

Head Coordiantor Head Cha Head Cook Musician Spiritual Director
Interested in serving on the Southwest Michigan DeColores Board? *

Yes No Maybe Contact me
Should be Empty: