CUCCS Host Application Form

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Couples are invited to apply to host at the Reformed Church House and/or Mayflower. Couples (married, domestic partners, friends) are requested to apply as a team and provide joint answers to the following questions.

Names: *

Email Addresses: *

Mobile Phones: *

Permanent Mailing Address (including street address, city, state, and zip code): *

Denominational Affiliation: *

Home Church: *

How long have you been coming to Chautauqua? *

How many times have you stayed at the Mayflower? *

How many times have you stayed at the Reformed Church House? *

How many times have you participated in the CUCCS Work Weekends? *

Never

Occasionally

Frequently

Other:

What tasks have you performed at Work Weekends? *

Current Employment: *

If you are not currently employed, or have retired, what was your most recent employment? *

The CUCCS Board of Director appreciates flexibility regarding hosting location. Do you have a preference regarding hosting at the Mayflower or RCH? *

Mayflower

RCH

Do you have a preference regarding first half of the season or second half? *

First Half

Second Half

Describe your volunteer and/or leadership experience during the last five years. Also include group experience. *

We expect our hosts to have "fix-it" skills. How would you describe your ability to use a plunger, change a lightbulb, operate power tools, etc.? *

What gifts and talents would you bring to the host position? *

Please let us know about any concerns you might have about your ability to fulfill the responsibilities and commitments of hosting. *

Please provide contact information for two Chautauqua references: *

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