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                  "EQUIPPING THE SAINTS FOR MINISTRY"  
  
                       Member Involvement Survey  
  
NOTE:  This is a sample form referred to in the lesson 
"Organizing For Service In The Body".  
  
Name:    __________________________________   Date: __________________  
Address: __________________________________  
         __________________________________   Phone:__________________  
  
Please mark [X] in the appropriate squares those things you are willing  
to do at this time.  If it is something you might like to do in the  
future, mark [O].  
  
Return this form to:  __________________________________  
  
 M  F                               M  F  
[ ]    Lead Singing (Sunday)       [ ][ ] Visit Sick At Home  
[ ]    Lead Singing (Wednesday)    [ ][ ] Visit Sick At Hospital  
[ ]    Lead Opening Prayer         [ ][ ] Visit Shut-In Members  
[ ]    Lead Closing Prayer         [ ][ ] Visit People In Nursing Home  
[ ]    Preside At Lord's Supper    [ ][ ] Telephone Sick, Shut-In  
[ ]    Assist With Lord's Supper   [ ][ ] Provide Transportation To  
[ ]    Preach Sermons                      Services  
[ ]    Make Announcements          [ ][ ] Provide Transportation To  
[ ]    Make Short Talks                    Doctors, Stores  
[ ]    Read Scripture              [ ][ ] Provide Flowers For  
[ ]    Audio Tape Sermons                  Special Occasions  
[ ][ ] Prepare Communion           [ ][ ] Provide Clothes For Needy  
[ ]    Conduct Home Studies With   [ ][ ] Provide Food For Needy
	New Members  	           [ ][ ] Provide Emergency Shelter  
[ ][ ] Assist With Bulletin	   [ ][ ] Provide Emergency Childcare  
[ ][ ] Assist With Directory 	   [ ][ ] Provide Emergency Financial  
[ ][ ] Write Letters to Visitors           Aid  
[ ][ ] Pay Courtesy Visits To  	   [ ][ ] Prepare Meals For Sick,  
	Visitors	            	   Bereaved, New Mothers  
[ ][ ] Mail Or Handout Tracts,     [ ][ ] Arrange Activities For  
	Flyers		                   Young People  
[ ][ ] Invite People To Services   [ ][ ] Arrange Activities For  
[ ][ ] Grade Bible Correspondence          Members  
        Courses		           [ ][ ] Maintain Baptistry  
[ ]    Conduct Home Studies With   [ ][ ] Minor Repair Work (Painting,  
	Prospects	                   Carpentry)  
[ ][ ] Assist With Baptisms        [ ][ ] Yard Maintenance  
   [ ] Provide Childcare For Home
        Studies		                  Other (please specify):  
				   [ ][ ] _____________________________  
        		           [ ][ ] _____________________________  
				   [ ][ ] _____________________________  
				   [ ][ ] _____________________________  
         	                   [ ][ ] _____________________________  
			           [ ][ ] _____________________________  
         	                   [ ][ ] _____________________________  
			           [ ][ ] _____________________________  
   				   [ ][ ] Do You Have A Computer?  
         	                   What Kind? _________________________  
  
Please remember that some of these things are really our responsibility  
as individual Christians, and not the work of the local congregation. But   
by indicating what you are willing to do, it will help to know who can  
be called upon when such needs arise.  

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