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Church Renewal Team Member Registration

Please complete this form to join the Church Renewal team. You will be subscribed to our e-mail newsletter and added to our database of potential team members.
* required information
Contact 
Contact Information
First Name:*
Last Name:*
Spouse's Name:
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
Province:
ZIP/Postal Code:*
Phone:*
Business Phone:
Cell Phone:
Birth Date:(mm/dd/yyyy)
Emergency Contact Name:*
Emergency Contact Phone:*
Church Name:*
State Convention:
As a team member, in what area(s) would you be interested in serving:: Coordinator
Coordinator's Assistant
Adult Leader
Youth Coordinator
Youth Assistant
Children's Coordinator
Children's Assistant
Preschool Coordinator
Preschool Assistant
Music Leader
Pianist
Weekend Teacher
Have you previously served as a team member?:* Yes
No
If YES, year you last served:
Which type(s) of Weekend(s) did you serve on?: Lay Renewal Weekend (LRW)
Lay Ministry Weekend (LMW)
Marketplace Evangelism Weekend (MEW)
Prayer Weekend (PEW)
Acts 1:8 Weekend (ACTSRW)
Discipleship Weekend (DSW)
Experiencing God Weekend (EGW)
Other
Coordinator with whom you served:
In which of these areas did you serve?: Adult Small Group Leader
Youth Coordinator
Youth Assistant
Children's Coordinator
Children's Assistant
Preschool Coordinator
Preschool Assistant
Music Leader
Pianist
Weekend Teacher
Weekend Coordinator
Weekend Coordinator's Assistant
Have you served as a State or Associational Renewal consultant or other Renewal position?:* Yes
No
If YES, title of position:
Year(s) of service:
Would you be interested in supporting CRJ in the following ways?: CRJ Consultant (Help promote CRJ)
CRJ Prayer Supporter (Pray for and write encouraging notes/emails to coordinators and team members.)
CRJ Pastor (Be willing to talk with other pastors about your CRJ experience.)
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