Circle of Friends - Your Input is requested for this new program

Everyone has times in life when you feel alone and could use extra help and support.  At Lord of Life we are starting a Circle of Friends to be just like family.  Circle of Friends is for anyone and everyone who needs a little extra help. 
Do you need transportation to the doctor's office, shopping, or airport?  Due to limitations, do you need help around the house or with yard work?  Would you like someone to attend church with, enjoy events together, or just to talk? What is your need?  Where can we help? 

We would like you to give some thought to your specific needs and how our Circle of Friends might be able to help ease your burdens and lift your spirits. Please take a few minutes to provide your input below.
All information is confidential, and as we hear from families further information will be announced.
 
Board for Human Care

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* 1. What are your needs? Where can we help? Here are some possibilities to help get you started:
* Transportation (Medical appointments, Church, Shopping, Airport)
* Help with House Interior ('Handyman' jobs, Cleaning)
* Help with House Exterior (Yardwork, Mowing, Raking Leaves, Clearing Snow, Washing Windows)
* A Friend to Sit with in Church
* A Friend to Attend Events/Concerts with
* A Friend to Talk with Frequently
* A Friend to Dine Out with Together
* A Friend to Spend Time Doing Crafts Together
* Other Needs Not Yet Listed

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* 2. What is your preferred means of contact?

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* 3. Your Name (first and last, please)

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* 4. Phone  - Please note as (Cell #) or (Land Line #)

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* 5. Email (Please provide email address, or note "No Email")

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