Penn Valley Church Deacon/Deaconess Ministry Survey
This survey includes three sections: Care, Visitation and Counseling. You may fill out one, two or all three sections - based on your interest and abilities.

Each member of the family should fill out the survey individually. Young people are also encouraged to fill it out separately, indicating any areas where you would like to be involved.

This survey is NOT a commitment to fulfill all (or any) of the needs in your areas of interest. It only gives us a base of people to ask - a way to present opportunities for people to serve as needs become known.

First Name *
Your answer
Last Name *
Your answer
E-Mail Address *
Your answer
Phone Number *
Your answer
City *
Used to assist with locating closest help available for needs as they arise
Your answer
Preferred Contact Method *
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