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Greater Austin Emmaus Community Team Application

Data provided from this form is used by the Team Selection Committee for Conference Room Team selections. Note that your pastorís contact information is required before you will be entered into the team selection process. It is recommended that you update this application annually.

No application is needed to serve on a servant team; contact Lay Director or Servant Team Coordinator for the Walk, Flight or Journey of interest. It is recommended that you update your profile and application to reflect changes such as new e-mail, address or event participation.

If you know of others who may be interested in serving on a Walk to Emmaus or Chrysalis Conference Room Team please e-mail them this web address "". No application is needed to serve on a Servant Team; contact the Lay Director or Servant Team Coordinator for the Walk, Flight, or Journey of interest.

First Name:          M.I.          Last Name:
Home Phone
Work Phone
Cell Phone
(format: 555-555-5555)
Birth Date (mm/dd/yyyy) (include leading zeroes)
Gender: MaleFemale
Ethnicity (optional):
African AmericanAsian AmericanCaucasianHispanic American
Native AmericanOther
I am the Emmaus Coordinator for my church

Walk/Flight/Journey number you attended as a Pilgrim/Butterfly (please indicate location if not in the Rio Texas Emmaus & Chrysalis Community):
Walk to Emmaus: Location:
Chrysalis Flight: Location:
Chrysalis Journey: Location:
Other: Location:
I am interested in giving a 4th Day talk I am interesed in serving on the GAEC Board of Directors
I am active in a Reunion Group
I am active in GAEC activities such as Gatherings, Candlelights, Prayer Vigils, etc.
I am an active member in the life of my church.
I'm applying to serve on Walk to Emmaus Chrysalis Music Team
Availability: Anytime Jun - Aug Sep - Nov Dec - Feb Mar - May
Your Pastor's information:
First Name
Last Name
Pastor's E-mail:
I would like to serve as a lay director.
I am willing to serve on another Emmaus Community outside of Austin (up to 100 miles).