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Out - What is my
role
and
rhythm
to care for people in my community?
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* Indicates required question
Which people group do you have an interest in helping? Check All that apply.
*
Vulnerable children in our community
Fragile families in our community
Single Parents
Children in Foster Care
Kids who have aged out of foster care with no support system (18 +)
Foster/Adoptive Parents
People Raising Kids they didn't birth (Grandparents, Aunts/Uncles: Kinship)
Parents in Addiction/Recovery
Domestic Abuse
Human Trafficking (children, sex, labor, etc.)
Other:
Required
Do you engage with or have experience as one of these populations? If yes, please describe in the "other" section.
*
Yes
No
Other:
Required
How are you interested in caring? Check All That Apply
*
Time - Relational support and care
Talent - What you are naturally good at (please specify below in "other")
Treasure - Physical Items
Treasure - Financially invest in a child, family, or worker
Welcoming a Child into your home - Interested in or already are Fostering/Adopting
Other:
Required
When are you regularly available? Check All That Apply.
Morning
Lunch-Time
Afternoon
Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning
Lunch-Time
Afternoon
Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many hours a month are you willing to engage? (number only please)
*
Your answer
Where would you like to serve folks? Check All That Apply
*
At your church
At another church
In the community
In my home
Other:
Required
Check All That Apply. What are your barriers to engaging?
General anxiety
Lack of Initiative
Don't know how to plug-in
Don't feel knowledgeable or confident
Difficult for me to engage with suffering
Feels like my time, talent, and/or treasure wouldn't make a difference
Other:
How much do you bring God into your work setting?
*
Never
0
1
2
3
4
5
6
7
8
9
10
Constantly
Do you want to connect with another follower at your work or through the church to grow in this?
*
Yes: at work
Yes: through church
No
Other:
Required
How much do you bring God into your relationship with neighbors?
*
Never
0
1
2
3
4
5
6
7
8
9
10
Constantly
Do you want to connect with another follower in your neighborhood or through the church to grow in this?
*
Yes: in the neighborhood
Yes: through church
No
Other:
Required
Name
*
Your answer
Email
*
Your answer
Gender
*
Male
Female
Age
*
Your answer
Phone # (optional - but will help expedite communication)
Your answer
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