Richmond Emmaus

Team Application

The Upper Room Emmaus Community of Richmond, Virginia

Personal Information

Church Information

Emmaus Information

Step 1 of 5

Name: : Merciful God to ease the suffering of all those who seek your comfort from the pain caused by medical conditions.
Start: 2020-09-30T00:00:00-04:00
End: 2020-09-30T23:59:59-04:00

Personal Information
I am submitting my application for:*
- Inside Team
- Outside Team
Name
First Last
Preferred Name or Nickname
Email
Preferred Phone Number
Address
Street Address Address Line 2 City State ZIP Code

Church Information
Church Name
Denomination
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Church Phone
Pastor's Name
First Last

Emmaus Information
Date, Community, Walk # of your Emmaus Walk
Please indicate when you attended:
Date of Fourth Day Training*
Date Format: MM slash DD slash YYYY
Date of Sponsorship Training
Date Format: MM slash DD slash YYYY
Any other Emmaus training
Are you currently in a Reunion Group or other Accountability Group?
- Yes
- No

TEAM MEMBERS ARE ASKED TO CONTRIBUTE to the cost of the weekend, which is currently $175.00. If you cannot do so, you are welcome to apply and financial assistance is available — but you must let your Weekend Lay Director know at the start of teaming if you need assistance.

« October 2020 »