Name * :Email * :Home Phone :Cell Phone :Street Address :City :State :Zip :Age Group: 18 to 25 26 to 35 36 to 45 46 to 55 56 to 65 66 and up Marital Status: Single Married Widowed Divorced Occupation :Homemaker Student Employed Full-Time Employed Part-Time Retired Are you generally interested in participating in activities or events planned for women?: Yes No Sometimes What would make you NOT want to participate in events or activities for women? :Preferred times for women's meeting and activities :Mornings Evenings Preferred days for women's meeting and activities :Monday Tuesday Wednesday Thursday Friday Saturday For you, what is the worst day of the week for a women's event? :Monday Tuesday Wednesday Thursday Friday Saturday What is your need right now from Women's Connection? :Personal spiritual growth (Bible Studies) Outlet for fellowship Encouragement Learning/Mentoring Outlet for service to church and community Other Explain if desired :Relational opportunities I would participate in (please scroll down to view all possible answers) :Women's Retreat Women's Conference at Church Prayer Partners Mentor Relationships Mom's Support Group Single Mom's Support Dinners, Luncheons or Breakfasts Babysitting Exchange Craft Night Games Night Movie Night Culture Night (ie. Museum, Concert, Theatre) Fix Up / Redecorate some rooms at the church Other Explain if desired :What other suggestions do you have for types of events? :Study opportunities I would participate in :Discipleship Studies Identifying Spiritual Gifts for Ministry Character Studies Women's Bible Study Study of Social and Moral Issues in our Society Study of How to Help Others with Personal Problems (Lay Counseling) Study of Prayer Other :If you could have a need fulfilled by Women's Connection, what would it be? :Would you like to be involved in helping plan, prepare, or possibly take a lead role for events and activities for women at LVC?: Yes No Maybe Explain if desired :If someone would just ask me, I'd be willing to ... :Do you have a skill or hobby that you would be interested in sharing during a meeting or activity within our Women's Connection?: Yes No Maybe If so, what? :In relation to our community, what projects/activities would you like to see our Women's Connection become involved in? (General or Specific) :In relation to our church, what special projects/activities would you like to see our Women's Connection become involved in? :Do you attend women's events outside of Littleton Vineyard?: Yes No Sometimes If so, what? :Additional Comments :
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