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CAMPBELLSVILLE EMMAUS

Volunteer Sheet

(CHECK ANY THAT YOU ARE WILLING TO WORK)

Check Here:*

Emmaus

Chrysalis

YAC

First name*

Last name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Cell Phone*

Email*

Home Phone

WorkPhone

Birth Year*

Age*

Gender*

Male

Female

Are You In High School?

Fresh

Soph

Jr.

Sr.

Are You In College?

Fresh

Soph

Jr.

Sr.

Church Name

Pastor Name

I Went On:

Emmaus Walk #:

Chrysalis Flight #:

YAC#:

In The _____________ Emmaus Community.

Are You In A Reunion Group?

Yes

No

Name Of Group:

When & Where Did You Meet?

I Am Willing To Serve On A Team And Use My Gifts Of Ministry In The Following Positions:*

Music Team

N/A

Do You Play An Instrument?*

Yes

No

List Instruments:

Ordination

Ordained?*

Yes

No

Ordained As:

Clergy

Music Minister

Youth Minister

Other

CONTACT US:

info@campbellsvilleemmaus.org

Campbellsville Emmaus Community

PO Box 4155

Campbellsville, Kentucky 42719

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