First Name only unless Last is different from above
Your answer
Title
PO Box
Your answer
Street Address
Your answer
Home Development/Village
If you live in a named housing community or "Village".
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number with Area Code *
Preferred contact phone number
Your answer
Phone Type *
Preferred contact phone number
Choose
Home
Cell
Primary Spoken Language
Clear selection
Residency *
If "Seasonal", what month do you arrive?
Clear selection
If "Seasonal", what month do you depart?
Clear selection
Can we add your name to the Bulletin to welcome you
Clear selection
Would you like to volunteer at St. Timothy?
Clear selection
If "Yes", what areas might interest you?
You may check more than one. The Coordinator of Volunteers will contact you.
What is/was your occupation?
To determine experience for volunteer activities. Experience is not always required.
Your answer
Emergency Contact *
Preferably a family member who does not live with you. A husband/wife is always considered a first emergency contact and should not need to be repeated here.