Northwest New Mexico Emmaus Community
Northwest New Mexico Emmaus Community
Survey and Volunteer Sign-up Sheet
Name:________________________________________________________________________
Address:______________________________________________________________________
City:_____________________________________St.:_______Zip:_______________________
Phone #:hm_________________wk_________________cell____________________________
Email:________________________________________________________________________
Age:_____ Birthdate:_____ Name of Spouse (if applicable)____________________________
Church:_________________________________ Are you an active member?_________
Pilgrim Walk #:______ Date of Walk:_________ Lay____ Clergy____
Community:__________________________ or Location of Walk:_______________________
____Yes! I would like to serve on an Emmaus Walk support and/or conference room team in the future.
____ NO, I am not interested in serving on a team, but will pray for the continuing ministry of
the Walk to Emmaus. (continue to back of sheet, pg.2)
MUSIC: I would like to be involved as one of the musicians in the community and on Walks
____I play one or more musical instruments (list below)
_______________________________________________________________________
____I do not play an instrument but can lead singing
CLERGY:
____I would be willing to serve as part of the clergy team for an Emmaus Weekend
CONFERENCE ROOM TEAM: (Lay Persons. Active participation in your local church and a Reunion Group is a pre-requisite for working Emmaus Walks)
____I would like to be on a conference room team
____I am currently active in the ________________________________ Reunion Group
____As a member of the NWNM Emmaus Community, I plan to be a part of a Reunion Group
BEHIND THE SCENES: I am willing to be a part of the weekend participation in the following ways: (check all that apply):
____72 Hour Prayer Vigil
____Prayer Agape Chapel- Come onsite and pray during the weekend
____Provide Agape (both food and table agape) for Walks
____Come to facility and help Outside Team distribute agape during the weekend
____Stay on site for the Walk weekend and be a part of the Outside support Team
____Be a part of the kitchen crew, if applicable
____Help with transportation
____Help Trailer Angels with setup on Thursday before the Walk begins
____Help Trailer Angels with cleanup on Sunday at the completion of the Walk
____Help inventory the trailer
____Childcare
____House out of town guest
____Be a part of one of the committees under the Board of Directors
____Be on the Board of Directors
PREVIOUS WALK EXPERIENCE: (This information is to be used for the purpose of future team selection. We are always updating our database and it is important to have accurate information)
Number of Walks worked_______
Give Walk Dates and #s: _________________________________________________________
______________________________________________________________________________
Positions Served:________________________________________________________________
Talks Given:___________________________________________________________________
Please turn form to: NWNM Emmaus Registrar, P.O. Box 3624, Albuquerque, NM 87190
I understand that as part of an Emmaus Conference Room Team, I will be required to pay the same fee as a pilgrim pays. In the Outside Team support role, if staying on site, I will be responsible for paying for my room and meals.
Signature: ______________________________________________ Date: ________________
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