EmailMe Form - St. Johns Older Adult Ministry Task Force

St. Johns Older Adult Ministry Task Force
Your input is requested on how to help meet your needs and address your interests.

Will you let me be your servant, let me be as Christ to you?
Pray that I might have the grace to let you be my servant, too.

We are pilgrims on a journey, we are trav’lers on the road.
We are here to help each other walk the mile and bear the load.

I will hold the Christ-light for you in the night time of your fear.
I will hold my hand out to you, speak the peace you long to hear.

I will weep when you are weeping, when you laugh I'll laugh with you.
I will share your joy and sorrow till we've seen this journey through.

When we sing to god in heaven, we shall find such harmony,
born of all we've known together of Christ's love and agony.

Will you let me be your servant, let me be as Christ to you?
Pray that I might have the grace to let you be my servant, too.

http://rockhay.tripod.com/worship/music/willyouletme.htm

Name *

Prefix

First *

Last *

Suffix

Spouse's Name

Prefix

First

Last

Suffix

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Phone Number *

###

####

Email

Check all that apply.

I/we live in our own home, apartment, condo.

I/we are living in an assisted living facility.

I/we have a relative/friend who calls or visits.

I/we would be interested in a "buddy"call system.

Check all that apply.
I/we need a helping hand with:

Minor repairs or yard work.

Completing Medicare, insurance, or Medicaid paperwork.

Balancing checkbook, banking, paying bills.

Income tax preparation.

Organizing medication.

Blood pressure monitoring, insulin, other medical needs.

Obtaining medical equipment (wheelchair, walker, cane, etc.).

Meal preparation.

Grocery shopping.

Medical alert system

Check all that apply.
I/we would be interested in:

A friendship visit from a Stephen Minister.

A regular visit from our pastors and Holy Communion.

A regular visit from a youth group member or confirmand.

CD of Sunday Sermons for home listening.

Attending a Bible class.

Transportation to worship.

Transportation to a medical appointment.

Pharmacy medication pick up.

Check all that apply.
I/we would be interested in volunteer opportuniites at St. Johns.

Assisting in the school library.

Reading to young children.

Assisting with church/school mailings.

Stuffing bulletins.

Restocking church pew racks.

Assist in minor church repairs or cleaning.

Visting other older adults.

Check all that apply.
I/we appreciate more social opportunities.

Eating out monthly with a group.

Attend a half-hour light exercise class on Thursday mornings.

Occasional social group outings (bus trips, tours, theatre).

Bible study group.

Please list any additional needs or interests you may have.

Date

YYYY

Image Verification
	Please enter the text from the image: [Refresh Image] [What's This?]

EMF Survey

Report Abuse