* 1. Name

* 2. Address & Home Phone:

* 3. Email and Cell Phone Number

* 4. What are you passionate about in life? What are your gifts?

* 5. What do you enjoy doing in your free time?

* 6. When (day/time) do you normally have free time available?

* 7. What gifts have you shared in other settings?

* 8. How do you want to become more active in the life of Salem?

* 9. If you were going to help start a ministry at Salem, what would that ministry be?