Springfield Area Emmaus
230 East High Street, Springfield, OH 45505 

If you desire to serve on a *live-in team, you must complete this form, which will be used by future Lay Directors and the Team Selection Committee. Live-in team requirements are: 1) To be active in and meet regularly with your share group, 2) To be active in your local church, and 3) To be active in the Emmaus Community. (There is a one-year waiting period between the date you take your “Walk” and when you are eligible to serve on a live-in team.) 

                                                                  PLEASE PRINT 

Name: ________________________Walk#___ Date: ______ Location __________________________________

Address: __________________________________  City: _____________________ State____  Zip: ________

Home Phone: ( ) Work / Cell Phone: ( ) e-mail: ___________________________ 

Birth date: Month _________________ Day________ Year_________ Occupation: _________________________

Name of Church attending: _______________________________________________________________________

Regularly attend Share Group: ___Yes ___No 

                          “Willing Servant” Responses – Where are you willing to serve? 

___Live-in Team (Share Group required)                               ___Serve in the Kitchen during Walk 

___Serve on Emmaus Board                                               ___Set-up Kitchen, Wednesday

___Set-up, Wednesday Evening                                          ___Kitchen Clean-up, Monday after Walk

___Carry Luggage, Thursday Evening                                  ___Clean Bathrooms during Walk 

___Set-up for Church, Sunday Morning                                ___Set-up / Clean-up for Gathering Social 

___Tear Down Conference Room, Sunday Afternoon             ___Lead Music/Sing/Play instrument for Gatherings

___Clean Sanctuary after Closing                                        ___Assist During the Gathering Worship Service

___Serve as Kitchen Manager for one day during Walk          ___Newsletter Mailings

                                                      Music for the Walk Weekend: 

___Song Leader (Live-in Team)        ___Sing ”Special Music”      ___Play instrument______________________

    *If you are interested in serving on a Live-in Team, please also complete the Questions below: 

In the past year, I have served the Lord through the Emmaus Community in these ways:____________________

____________________________________________________________________________________________

In the past year, I have served the Lord through my local church in these ways: ___________________________

_____________________________________________________________________________________________

In the past year, I have served the Lord in the following additional/other ways: _____________________________

_____________________________________________________________________________________________

  Please mail completed form to the above address. 

Springfield Emmaus