Revive Us Connecticut Volunteer Form

Thank you for your interest in volunteering at Revive Us Connecticut. In the form below, please tell us about yourself! After completion one of our team members will reach out to you!

Date: June 1, 2024 | Location: 185 Chapel Street New Heaven, 01841| Time: 5:30pm  

If you have any questions please email: Info@thisisreviveus.com

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Email *
First and Last Name *
Date of Birth *
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DD
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Phone Number *
Home Address *
Gender *
What areas are you interested in helping? *
Required
The name of your Pastor and their phone number *
Name of your Church *
Your Church Address  *
CPR or First Aid Trained *
List your experience in ministry: *
Please add a reference (Pastor, Leader, etc) *
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