CARING MINISTRY SURVEY

 

God has given each of His believers different gifts to be an instrument of His love to each other.  However, sometimes we miss opportunities to use these gifts to minister to those around us.  By means of this survey we hope to provide an opportunity to match your gifts for service with others needs.

If you have been in *regular attendance for at least six months or are a member of the Free Church, and as the Lord leads you to participate in Caring Ministry, please fill in the information below and click on "Submit Information"

*Attendance is confirmed by means of the Church "Response Card" found in the bulletin each Sunday. 

 

Name:

First:

Last:

Address:

 

Contact Information:

Home Phone:

Work Phone:

Cell Phone:

E-mail:

 

AVAILABILITY

Best time to call:

I am available at these times (Check one or both):

Daytime          Evening

Weekdays      Weekends

Specific days:

 

Home Needs:

    Light House Work             

    Laundry                             

    Grocery Shopping               

    Mowing 

    Trimming

    Other Yard Work

    Snow Removal

    Automotive

 

Maintenance:  

    Exterior Painting

    Interior Painting

    Painting Preparation

    Repairs:    

    Carpentry

    Electrical

    Plumbing   

 

Transportation:  

    Provide Ride

    For Shopping

    To:

    Church *

    Doctor

    School

    Hospital

     Preferred Time:

         Morning

         Afternoon

 

* Please indicate prefered worship time in the right column

Visitation:

    Phone Calling:

    Home Visits

    Shut-ins Home

    Communion Serving

    CD Ministry Delivery

    Nursing Home:

         Music

         Manicures

         Games

 

Childcare:

    Mornings

    Afternoons

    Evenings

    Overnight (My Home)

    Overnight (Their Home)

    Emergency Short Term

    Tutoring

 

Care Giver Assistance or Relief:

    Mornings

    Afternoons

    Evenings

    Overnight

    Visitation

    Training or Experience:

    CNA Trained  

    Medical Training

    Life Experience

 

Meals:

    Special Diet

    Common Diet

         Week Day

         Weekend

         Any Time

 

*Please indicate prefered Worship time:

Early Service    Late Service

Attend Sunday School

 

 

 

 

If you'd like a copy of your information,

   PRINT THIS PAGE BEFORE CLICKING ON     "SUBMIT INFORMATION".

 

 

 

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