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* 1. Please provide your contact information so we can verify our database.

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* 2. What is your birthdate?

Date

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* 3. What is your baptism anniversary?

Date

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* 4. What is your wedding anniversary date?

Date

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* 5. Please list your spouse's name, birth date and baptism anniversary:

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* 6. Please list your child(ren)'s name, birth date, and baptism anniversary:

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* 7. Which of the following ministry opportunities are you most interested in participating in during the coming year?

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* 8. Which of the following ministry opportunities are you least interested in participating in during the coming year?

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* 9. Which of the following outreach programs are you most interested in volunteering with?

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* 10. Are there any other groups, programs, or events you are interested in?

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* 11. Which of the following outreach programs are you least interested in volunteering with?

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* 12. What organization(s) would you like RoG to support?  Check all that apply.

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* 13. We have the opportunity to help individuals in the local community but need more resources to make the biggest impact on their lives.  Which way would you be most able to contribute?

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* 14. I am interested in serving in the following areas when the church body meets:

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* 15. I have a passion for and experience in the following area(s):

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* 16. I can serve the church and community through personal skills and talents in:

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* 17. I would like to serve the community and individuals in the area(s) of:

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* 18. What activities interest you and would like to participate in?  

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