diakonia emmaus community - Diakonia Emmaus – Eagles Wings

DIAKONIA EMMAUS COMMUNITY
A program of Mission Presbytery
Presbyterian Church USA
TEAM SERVICE FORM
Used by the Team Selection Committee to identify people to serve on Eagle’s Wings Walk teams.
Name: __________________________________________Date:_______________________
Address: ________________________________________E-mail:______________________
City: _______________________________
Home Ph: _____________
State: _____
Zip Code: _______________
Daytime Ph: ______________ Date of Birth:_____/____/______
Name of church attending: ______________________________________________________
Pilgrim Walk #: __________
Are you part of a Reunion Group?
Yes
No
Have you served on an Emmaus – Chrysalis – Cursillo – Kairos team previously? Yes
No
If so, please list walk(s), date(s), and team assignment (angel, go-fer, table leader, music, etc). Please
conclude with the current walk you are working or applying for.
WALK #
DATE
TEAM ASSIGNMENT
TALK (list topic)
________
_______________
__________________________
________________________
________
_______________
__________________________
________________________
________
_______________
__________________________
________________________
________
_______________
__________________________
________________________
(Please continue on back side if you’ve served on more than six walks)
When can you serve on a team?___________________________________________
(See www.diakonia-eagleswings.org for dates of upcoming walks.)
Do you plan to attend Leadership Training (dates will be announced)?
Women, please fill out, send to either:
Ellen Mainiero
10016 Majorca Drive
Austin, TX 78717
scan/email to: ebmainiero@yahoo.com
Yes
No
Men, please fill out, send to either:
OR
John Maddera
1208 Deer Grove Drive
Cedar Park, TX 78613
scan/email to: chronicle410@yahoo.com
Revised February 2013