This is a fillable pdf file. You can fill out electronically and save and email to
[email protected] or print out and return hardcopy to church office.
Emmanuel Connections Volunteer Registration
Last Name
First Name
Street Address City
Zip
Home #
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Telephone
Cell #
Email Address Preferred Contact
Email
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US Mail
□ Volunteer
Events Social, educational, Christian formation
Transportation Medical and dental appointments, Hairdresser/barber, Running errands, Daytime cultural events, Weekly grocery shopping, Clothing, gift buying, Prescription pickup
Home Maintenance Hanging pictures, curtain rods, curtains; Use of indoor ladders: check smoke alarms, change light bulbs, reverse ceiling fans; Turn mattress; Simple repairs; Move furniture; De-cluttering
Yard work: Seasonal cleanup, Snow removal, Lawn mowing Meal Preparation and Delivery When recovering from childbirth, illness, accident or surgery
Technical Assistance Program cell phone, thermostats, Program TV remotes; Set up computer, e-mail
Assistance with health needs Home safety, Filing insurance claims, Health care options, Wellness programs
Assistance with financial tasks Balancing checkbook, Paying bills, Tax preparation, Budgeting
Friendly visits Conversation, companionship, Respite for a caregiver Additional Services, Comments, Notes, Contractor Recommendations
