Kairos Team 28 Application

Kairos Team #28 Membership Application

United States Penitentiary, Lompoc

October 10-13, 2008

*Italic* fields are optional; all others are required
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Home Phone:
Business Phone:
Fax:
Date of Birth (MM/DD/YY):
I speak Spanish	fluently enough to listen at a table little or none
Your Walk:	Cursillo Emmaus Other
Year of your walk:
Place:
# of street weekends worked:
Team positions you have held:
Kairos experience other than Lompoc (Location, Number and Position)
Kairos and "street" talks you have given:
Name of your Church:
Denomination:
Location:

I understand that by serving on a Kairos team I am obligated to attend monthly reunions with the residents who have made a Kairos for a period up to one year. I will make a reasonable effort to attend this crucial follow-up.

I will buy, read and follow the Kairos manual upon my acceptance as a member of the Kairos outside team. I understand the importance of team formation and I will make a reasonable effort to attend the team building meetings preceding the weekend.

I will serve in whatever capacity appointed but I believe that my best capabilities are in the following area(s):

Table Leader- Speaker- Agape- Server- Music- Coordinator

Other:

Comments:

I will do my best to read and obey the prison regulations pertaining to visitors and will submit the required forms and take the yearly training.

(Non-electronic option): You may print this form, fill it out by hand, sign it, and send it via U.S. Mail to the Rector for the weekend:

David Nieto
6039 Roy St.
Los Angeles, CA 90042
Home: (323) 257-1485 Cell: (310) 569-5900

Note: The suggested donation for the weekend is is $80/person, plus another $10 to buy the new “Blue Book” weekend manual which replaces the old “Purple Book”. Please make your check payable to "Golden State Kairos" and enclose it with your letter or bring it to the first meeting.