Name: _______________________________

Are you a member ______yes _______no

If not would you like to become a member? ____yes ____no

Are there any areas of ministry that you would like to become involved in?

 ____yes ____no

If yes, please mark which areas:

Nurture (working with the overall well-being within the church)

_____Christian Education

    _____teaching

    _____Vacation Bible School

    _____Preparing meals

    _____church events

    _____memorial services

_____Youth

    _____camp representative

    _____youth leader

    _____youth activities/rallies

    _____camp counseling

_____Worship and Music

    _____children’s choir

    _____adult choir

    _____planning/preparing services

    _____singing/instruments

    _____puppet ministry

Stewards (maintenance an care of building)

_____Church clean-up

_____general maintenance

_____gardening/flower beds

Witness (outreach)

_____free meals

_____volunteer in local ministries

_____participate and/or coordinate mission trips

Deacons (nominated by members of the church: to care for those within the congregation.)

_____visitations

_____reconciliation team

Other: ______________________________

____________________________________