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Clergy volunteer form for religious events for evacuees

North Carolina Responds with Disaster Aid

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Information updated at September 12, 2008 6:21 PM

Clergy Leader information / volunteer form

Please read these guidelines (new window)

Only ordained or licensed clergy members should register here. All other volunteers register using the Community Volunteers link.


Directions:

Please complete this information form which will be used to schedule clergy volunteers to assist with the spiritual needs of evacuees at the Coliseum. Make sure to provide your email address so we can follow up with you.

Contact Information
Your name

first

last

title
Daytime Telephone area code phone
Cell/mobile area code phone
Your email address
Faith (e.g. Christian, Jewish, Hindu...)
Denomination (e.g. Southern Baptist, Lutheran, etc.)
Your congregation name

Street Address

City      State      Zip code
   

Availability

Schedule me to provide counsel to evacuees on

date

time
      am    pm

My communication skills

English only
Spanish
Sign language
Other language
specify