EmailMe Form - SEI Emmaus Information Update Form/Willing Servant

Name *

First MI Last

Please use First and Last Name as you would like it to appear on your Name Tag

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Please list most accurate number to reach you

Alternate Phone

### - ### - ####

Email *

This is how you will receive any important information from SEI Emmaus Community

Confirm

Church Name & Location *

Your Walk number & Location *

Are you able to navigate stairs? *

Are you able to reach & sleep on a top bunk? *

Have you been Sponsor Trained? *

Do you understand there is a fee of $140 to work the walk? *

**Fees need to be paid prior to the day of walk

Reunion Group/Bible Study Meets-Where & When *

Do you have room for others?

How many times have you served?

Music Head
Music Team
Agape Head
Agape Team
Kitchen Head
Kitchen Team
Tech
Offsite Prayer Warrior
Onsite Prayer Warrior
Table Leader
Assistant Table Leader
Lay Director
Assistant Lay Director
Spiritual Director
Assistant Spiritual Director
Board Rep
On the Board of Directors

Check the box of the position you are interested in serving

	Interested
Agape
Kitchen
Onsite Prayer Warrior
Offsite Prayer Warrior
Tech
Music
Table Leader
Assistant Table Leader
Lay Director
Assistant Lay Director
Spiritual Director
Assistant Spiritual Director
Board Rep
Saturday Evening Meal
Set Up & Tear Down
Short Notice
Give a 4th Day Talk at Gatherings
Board of Directors
Music Committee
Agape Committee
Kitchen Committee
Registrar Committee
Team Selection/Nominations Committee
Communication Committee
Leadership/Training Committee
Facility & Transportation Committee
4th Day/Reunion Groups Committee

If interested in Music, what are you gifts?

Date *

MM / DD / YYYY

Any Comments, Suggestions, or Questions you may have, please list below.