Channel Islands Walk To Emmaus

Channel Islands Walk To Emmaus

Team Member Application

All Information Is Strictly Confidential

Which Walk are you applying for?
Men's
Women's

Please Select:
Mr.
Mrs.
Ms.
Rev.

Name:

Address:

City, State:

Zip Code:

Email Address:

Age:

Home Phone:


Work / Cell Phone:


Emergency Contact:


Emergency Contact Phone Number:


Occupation:


Marrital Status:
Married
Single
Widowed
Separated
Divorced


Where Do You Attend Church?


Denomination:


Date of Your Walk To Emmaus:


Location of Your Walk To Emmaus:


Please Check All Positions You Have Held
Lay Director
Assistant Lay Director
Head Cook
Assistant Head Cook - Kitchen
Assistant Head Cook - Facilities
Prayer Agape
Cook
Floater / Runner
Spiritual Director
Head Musician
Musician
Agape
Logistics
Kitchen Musician
Table Leader
Angel

Please Check All Talks You Have Given
Priority
Prevenient Grace
Priesthood Of All Believers
Justifying Grace
Life In Piety
Growth Through Study
Means of Grace
Christian Action
Obstacles To Grace
Discipleship
Changing Our World
Sanctifying Grace
Body Of Christ
Perserverance
Fourth Day

Do you play a musical instrument, and if so, which one?


Comments or information you feel would be helpful in placing you on a team for a Walk To Emmaus?


Do you require a special diet?
Yes
No

What diet requirements do you have?


Please list any medical conditions the Walk To Emmaus Leadership Team should know about:


Are you able to commit 20+ hours to team preparation spread over a 6-8 week period?
Yes
No