Platform Admin
Skip to content
Signups
Log in
Medical Response Team Member Profile
Your name
*
Last name
Email address
*
Email Address (Re-Enter)
*
GENERAL INFORMATION
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Phone Number
*
Phone type
Mobile
Home
Work
Other
Birthday
*
Date
Gender
*
Select…
Male
Female
Marital Status
*
Select…
Single
Married
Widowed
Ethnicity - we value the diversity of backgrounds that make us who we are
African
African American or Black
Asian
Asian American
Caribbean
Caucasian
Hispanic or Latino
Native American/Alaska Native
Other
Pacific Islander/Native Hawaiian
Prefer not to answer
Unknown
QUESTIONS
Why have you chosen this area to serve in, what experience do you have, and what gifts might you contribute?
*
Where else have you served or are you serving at Grace?
Share your spiritual journey or testimony. If you are a believer, describe when and how you came to trust Jesus as your personal Lord & Savior.
*
Are there areas of your spiritual life or journey that you would like us to come side by side with you in order to help you grow?
Yes, I'd like to talk with someone
Not at the moment
Other
Have you been baptized as a believer?
*
Select…
Yes
No
ADDITIONAL INFORMATION - Medical Response Team
Please explain your medical background (ER Physician, EMT, Geriatric LPN, etc.)
*
Are you currently actively practicing health care, a student, or retired?
*
Describe your experience addressing emergent medical situations?
*
What training and/or certificates do you have regarding emergent medical response (i.e. CPR/AED/BLS/ACLS) and when do those certificates expire?
*
Grace Community Church offers CPR training each summer
Please describe your special skills and interests to contribute to the Medical Response Team:
*
Please list any second languages you may speak:
TEAM MEMBER STATEMENTS
By clicking the checkboxes, I agree that each of the following statements is true.
The information contained in this profile is correct to the best of my knowledge.
*
I have read and agree to the Grace Community Church Doctrinal Statement (gcconline.org/what-we-believe/).
I agree to submit to the leadership of the Board of Elders and do all I can to maintain the unity of the church.
Submit
Church Center requires JavaScript to be enabled.
Here are some
instructions to enable JavaScript in your web browser
.
