Contact Information & Interest Form Question Title * 1. Name Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 2. Address & Home Phone: Address City, State, Zip Home Phone Question Title * 3. Email and Cell Phone Number Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 4. What are you passionate about in life? What are your gifts? Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 5. What do you enjoy doing in your free time? Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 6. When (day/time) do you normally have free time available? Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 7. What gifts have you shared in other settings? Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 8. How do you want to become more active in the life of Salem? Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Question Title * 9. If you were going to help start a ministry at Salem, what would that ministry be? Adult 1 Adult 2 Child 1 Child 2 Child 3 Child 4 Done