Grace Community Church Community Engagement Survey

1.Contact Information(Required.)

Name

Email Address

Phone Number

2.When are you available?

Daytime

Evening

Weekend

3.Visitation

Elderly, homebound, disabled, or lonely

Take my children to visit elderly

4.Local Transportation

Appointments (Doctor, Dentist, etc.)

Church service/events

Grocery shopping/errands

5.Local Move

Provide & drive my truck

Pack or unpack

Deliver donated furniture

Carry furniture & household good

6.Household Needs: Elderly and Disabled

Occasional housecleaning

Laundry

Yard work (mowing grass, leaf raking, etc.)

Snow removal

7.Educational Support

English as a second language

Tutoring children and youth

8.Family Help

Temporary or occasional child-care

Give relief to a caregiver who has a family member with an illness or handicap

Deliver home grown vegetables from my garden

Prepare a resume

Prepare a meal

Budget counseling