PARTNERING IN SERVICE

Perhaps you are interested in partnering with us to serve the needs of others.  If so, please complete the following form.

Full Name:

Spouse (If Applicable):

Address:

City:    State:    Zip:

Home Phone:    Other Phone:

E-Mail:

Occupation:   

Spouse's Occupation:

PLEASE CHECK ANY AREAS OF SERVICE THAT APPLY TO YOU:

Elder     Deacon     Preacher     Classroom Teacher     One-to-One Teacher

PLEASE CHECK ANY AREAS OF SERVICE THAT APPLY TO YOUR SPOUSE:

Elder     Deacon     Preacher     Classroom Teacher     One-to-One Teacher

AREAS OF INTEREST (Check all that apply):

Short-Term Mission Trip (1 to 3 weeks)
Long-Term Mission Service (6 months or longer)
Gathering Equipment and Supplies (Medical supplies, computers, printed materials, etc.)
Financial Support

Please describe any past mission experience (not required):