Rome First UMC Community Builders Interest Form

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Others in your household Interested in participating (Names and ages of Children if applicable)

Season of Life (Choose One)

*

Please select all that apply.

College Student Single, Young Adult Single Professional Young Family School Age Family Single Parent Empty Nester Retiree Senior

Intentional Connection Interest

Who you might want to be paired with (Check all that apply)

Please select all that apply.

College Student Single, Young Adult Single Professional Young Family School Age Family Single Parent Empty Nester Retiree Senior - Senior Care Facilty

Top Preference from Above list

Your Interest in multiple connection opportunities

Please select all that apply.

Yes No Maybe

Additional Information

Personal or Family Interests

How are you looking to build community?

What needs do you have that having a larger village would help you?

Description

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