You will need to print this form and mail it back to the team selection committee, address is at the bottom of the form.

YES!
I want to work on a weekend.
_____ Men's Weekend, June 20-23, 2002 or Women's Weekend, June 27-30, 2002

Please indicate below all areas in which you have served on previous walks or flights

Are you able to commit to working full time (the entire weekend)?      YES       NO

Please be aware that attendance at team meetings is expected for full time positions and all team members must attend the team training meeting.

Name: ______________________________      Phone: ___________________

Address: ____________________________      e-mail: ___________________

City: __________________    State: ____  Zip: _________

When/Where did you take your Walk or Flight? _______________________________

When was the last Walk or Flight on which you served? _________________________

Where do you worship? ___________________________________   

Comments:

Return this form to

West Michigan Emmaus Community:

Attention Team Selection Committee

P. O. Box 595,

Hart, MI 49420