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Women's STARS Retreat Team Application - May 6-9, 2010


Please complete the form below:

* Name:
* Address:
* City:
* State:	- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming
* Zip:
* Email:
* Home Phone:	include area code
Cell Phone:	include area code

* Have you served on a STARS team?:

Yes    No

If yes, when and in what capacity?

* Why do you want to serve on the STARS team?

* How well do you handle stressful situations and lack of sleep?

* Are you interested in sharing your testimony?:

Yes    No

If yes, please submit a short paragraph summarizing your testimony.:

* Are you available to meet every Monday night, from 7pm to 9pm for the 10 weeks prior to the retreat?: Yes    No

If no, would you be willing to serve on Home Team? You would not attend the Monday night meetings or the retreat; however, you would help with the Thursday Send-Off Service, Thursday Dinner, Candlelight Service and the Sunday Return Meal.: Yes    No

* Do you have health issues that would limit your participation?:

Yes    No

If yes, please explain:

* Security Code:

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