Greater Austin Emmaus 4th Day Group Team Application

Data provided from this form is used by the Team Selection Committee for Conference Room Team selections. Note that your pastor’s contact information is required before you will be entered into the team selection process. It is recommended that you update this application annually.

No application is needed to serve on a servant team; contact Lay Director or Servant Team Coordinator for the Walk, Flight or Journey of interest. It is recommended that you update your profile and application to reflect changes such as new email, address or event participation.

If you know of others who may be interested in serving on a Walk to Emmaus or Chrysalis Conference Room Team please email them this web address. No application is needed to serve on a Servant Team; contact the Lay Director or Servant Team Coordinator for the Walk, Flight, or Journey of interest.

First Name:

M.I. Last Name:

Street

City

State

Zip

Home Phone	Work Phone	Cell Phone	Email
(format: 555-555-5555)


Birth Date (mm/dd/yyyy)	Gender:	Male	Female

Ethnicity (optional):
African American	Asian American	Caucasian	Hispanic American

Native American

Other


Church		I am the Emmaus Coordinator for my church

Walk/Flight/Journey number you attended as a Pilgrim/Butterfly (please indicate location if not in the Southwest Texas Conference):

Walk to Emmaus:			Location:
Chrysalis Flight:			Location:
Chrysalis Journey:			Location:
Other:			Location:


	I am interested in giving a 4th Day talk		I am interesed in serving on the GAE4DG Board of Directors


	I am active in a Reunion Group


	I am active in GAE4DB activities such as Gatherings, Candlelights, Prayer Vigils, etc.

I am an active member in the life of my church.

I'm applying to serve on

Walk to Emmaus

Chrysalis

Music Team

Availability:

Anytime

Jun - Aug

Sep - Nov

Dec - Feb

Mar - May


Your Pastor's information:
First Name	M.I.	Last Name	Pastor's Email:

	I would like to serve as a lay director.
	I am willing to serve on another Emmaus 4th Day Group outside of Austin (up to 100 miles).